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Individual
TRENT CHRIS HAGEN
Active
Individual
TRENT CHRIS HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-010723
IL
111N00000X
Chiropractor
A05427
IA
111N00000X
Chiropractor
CH 5120
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IL6341
—
IL
Enumeration date
03/27/2007
Last updated
06/08/2012
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