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1154765576
BRANDON JERROD HAGAN
WASHINGTON, DC
NPI
1154765576
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2013-04-29
Last Update Date
2013-04-30
Business Address
BRANDON JERROD HAGAN D.M.D.
110 IRVING ST NW DEPARTMENT OF ORTHODONTICS
WASHINGTON, DC 20010-3017
Phone number: 202-877-5380
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Mailing Address
BRANDON JERROD HAGAN D.M.D.
110 IRVING ST NW DEPARTMENT OF ORTHODONTICS
WASHINGTON, DC 20010-3017
Phone number: 202-877-5380
Copy
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