Provider Information for 1295020873
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Dr. ROBERT D HANSER LPC
Sex: Male
NPI: 1295020873
Last Updated: 2011-06-13
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||||
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| NPI | 1295020873 | ||||||||||||||||
| Enumeration Date | 2011-06-13 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 122 WESTERN AVE WEST MONROE, LA 71291-0408 United States Phone: 318-397-1784 | Fax: | ||||||||||||||||
| Primary Practice Address | 420 WHEELIS ST WEST MONROE, LA 71292-3940 United States Phone: 318-362-5558 | Fax: | ||||||||||||||||
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