JON HAGENBURG

PROVIDENCE, RI
NPI1114064433
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171100000X Acupuncturist
(Licence: RI  DA00279)
Enumeration Date2007-01-30
Last Update Date2007-07-08
Business Address
DR. JON HAGENBURG DA
45 EAGLE ST BLDG J, UNIT 100
PROVIDENCE, RI 02909-1011
Phone number: 401-323-2998
Mailing Address
DR. JON HAGENBURG DA
45 EAGLE ST BLDG J, UNIT 100
PROVIDENCE, RI 02909-1011
Phone number: 401-323-2998
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