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Individual
DUANE A HERMEN
Active
Individual
DUANE A HERMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00978
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I7658
MEDICARE GROUP NUMBER
IA
Enumeration date
09/04/2007
Last updated
11/26/2008
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