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Individual
AUSTIN G HOGLAND
Active
Individual
AUSTIN G HOGLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60518925
WA
363AM0700X
Medical Physician Assistant
PA60518925
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
WA
Enumeration date
12/04/2014
Last updated
06/07/2016
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