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Individual

MRS. HEATHER LYNN HANSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.N

Contact information

Practice address
637 DAVIS ST, AKRON, OH 44310-4029
(330) 608-8128
Mailing address
637 DAVIS ST, AKRON, OH 44310-4029
(330) 608-8128

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.138746-M-IV
OH

Other

Enumeration date
07/26/2010
Last updated
07/26/2010
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