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1619096849
TRAVIS STANFORD HAGEMAN
GRAND ISLAND, NE
NPI
1619096849
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NE 23571)
Enumeration Date
2007-03-28
Last Update Date
2016-07-03
Business Address
-- TRAVIS STANFORD HAGEMAN M.D.
729 N CUSTER AVE
GRAND ISLAND, NE 68803-4311
Phone number: 308-382-9266
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Mailing Address
-- TRAVIS STANFORD HAGEMAN M.D.
988102 NEBRASKA MEDICAL CTR
OMAHA, NE 68198-8102
Phone number: 402-559-6195
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