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Individual

EILEEN B HANSON

Active
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Individual

EILEEN B HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.N.

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
LN-1099
NM
133NN1002X
Nutrition Education Nutritionist
LN-1099
NM
172V00000X
Community Health Worker
Primary
G-1929
NM

Other

Enumeration date
09/03/2025
Last updated
02/03/2026
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