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1255508313
JUSTIN JAMES HANNEGAN
GOLDEN, CO
NPI
1255508313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
(Licence: MA 1497)
Enumeration Date
2008-05-08
Last Update Date
2008-05-08
Business Address
Mr. JUSTIN JAMES HANNEGAN CNIM
15047 W 54TH DR
GOLDEN, CO 80403-2915
Phone number: 720-308-4567
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Mailing Address
Mr. JUSTIN JAMES HANNEGAN CNIM
3875 KALAKALA CIR S
SALEM, OR 97306-9709
Phone number:
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