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1033395561
MARTHA S HAGEMAN
THAYNE, WY
NPI
1033395561
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WY 5751A)
Enumeration Date
2008-01-15
Last Update Date
2012-03-30
Business Address
Mrs. MARTHA S HAGEMAN M.D.
122 PETERSEN PKWY STE 4
THAYNE, WY 83127
Phone number: 307-883-5852
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Mailing Address
Mrs. MARTHA S HAGEMAN M.D.
122 PETERSEN PKWY STE 4
THAYNE, WY 83127
Phone number: 307-883-5852
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