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Individual
BRENT EDWARD HARBAUGH
Active
Individual
BRENT EDWARD HARBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
E-16515
AR
390200000X
Student in an Organized Health Care Education/Training Program
94-09484
KS
Other
Enumeration date
06/13/2018
Last updated
04/26/2023
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