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Individual

KELLI LYNN HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RT

Contact information

Practice address
40436 127TH ST, GROTON, SD 57445-5419
(605) 380-3299
(605) 622-2551
Mailing address
40436 127TH ST, GROTON, SD 57445-5419
(605) 380-3299
(605) 622-2551

Taxonomy

Speciality
Code
Description
License number
State
2471M2300X
Mammography Radiologic Technologist
Primary
207836
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
207836
ARRT
SD
Enumeration date
06/02/2008
Last updated
06/02/2008
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