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1891200143
THOMAS HAGEMAN
SURPRISE, AZ
NPI
1891200143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085U0001X Radiology Diagnostic Ultrasound
(Licence: AZ 152797)
Enumeration Date
2017-12-08
Last Update Date
2017-12-08
Business Address
THOMAS HAGEMAN RVT
14780 W MOUNTAIN VIEW BLVD
SURPRISE, AZ 85374-4799
Phone number: 623-760-9430
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Mailing Address
THOMAS HAGEMAN RVT
20395 W MONARCH CT
BUCKEYE, AZ 85396-7650
Phone number: 602-614-5253
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