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1336790179
BENJAMIN JAMES HAGEMAN
SARTELL, MN
NPI
1336790179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 13142)
Enumeration Date
2019-09-23
Last Update Date
2019-10-31
Business Address
BENJAMIN JAMES HAGEMAN PA-C
2251 CONNECTICUT AVE S
SARTELL, MN 56377-2583
Phone number: 320-253-5220
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Mailing Address
BENJAMIN JAMES HAGEMAN PA-C
8170 33RD AVE S MS 21110Q
BLOOMINGTON, MN 55425-4516
Phone number: 320-253-5220
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