DAVID SHANE HAGEMANN

ROSEVILLE, CA
NPI1881675619
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA147050)
Enumeration Date2005-11-09
Last Update Date2023-03-15
Business Address
DAVID SHANE HAGEMANN PA
1412 BLUE OAKS BLVD
ROSEVILLE, CA 95747-7143
Phone number: 916-784-7546
Mailing Address
DAVID SHANE HAGEMANN PA
1412 BLUE OAKS BLVD
ROSEVILLE, CA 95747-7143
Phone number: 916-784-7546
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