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1881675619
DAVID SHANE HAGEMANN
ROSEVILLE, CA
NPI
1881675619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA147050)
Enumeration Date
2005-11-09
Last Update Date
2023-03-15
Business Address
DAVID SHANE HAGEMANN PA
1412 BLUE OAKS BLVD
ROSEVILLE, CA 95747-7143
Phone number: 916-784-7546
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Mailing Address
DAVID SHANE HAGEMANN PA
1412 BLUE OAKS BLVD
ROSEVILLE, CA 95747-7143
Phone number: 916-784-7546
Copy
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