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Pamela A Hansen, PA-C

Physician Assistant in Mendota, IL. Individual provider (NPI-1).

NPI number1245306166
StatusActive
Last updated in NPPESApr 13, 2009

Details

NPI
1245306166
Entity type
Individual (NPI-1)
Name
Pamela A Hansen
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Nov 24, 2006
Last updated
Apr 13, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant085-000486ILYes

Other names

  • Pamela A Jones (Former Name)

Practice location

1315 Memorial Dr
Mendota, IL 61342-1447

Phone 815-539-1422 · Fax 815-539-1436

Mailing address

1315 Memorial Dr
Mendota, IL 61342-1447

Phone 815-539-1422 · Fax 815-539-1436

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