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1598347577
PHILLIP ANDREW HASENBALG
KINGMAN, AZ
NPI
1598347577
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-28
Last Update Date
2022-05-27
Business Address
PHILLIP ANDREW HASENBALG DO
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409-3619
Phone number: 928-757-2101
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Mailing Address
PHILLIP ANDREW HASENBALG DO
1725 PACIFIC AVE
KINGMAN, AZ 86401-4024
Phone number: 360-420-6396
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