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Individual
DR. THEODORE STANFORD HEGGEN V
Active
Individual
DR. THEODORE STANFORD HEGGEN V
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007599
IA
111N00000X
Chiropractor
12118
TX
Other
Enumeration date
09/04/2012
Last updated
04/05/2013
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