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Individual
ANISSA HARGIS
Active
Individual
ANISSA HARGIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
PA353
KY
363AM0700X
Medical Physician Assistant
PA 353
KY
Other
Enumeration date
07/11/2005
Last updated
06/11/2009
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