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1033642764
ABA HAGAN
TOMBALL, TX
NPI
1033642764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP132264)
Enumeration Date
2017-04-10
Last Update Date
2020-12-14
Business Address
ABA HAGAN FNP
455 SCHOOL ST SUITE 44
TOMBALL, TX 77375-4595
Phone number: 281-357-0661
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Mailing Address
ABA HAGAN FNP
PO BOX 26666 PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770
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