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Individual

LAURA HAGEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
119 S MAIN ST, SMITH CENTER, KS 66967-2605
(785) 282-6656
(785) 282-3301
Mailing address
119 S MAIN ST, SMITH CENTER, KS 66967-2605
(785) 282-6656
(785) 282-3301

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
13114804022
KS
163WA2000X
Administrator Registered Nurse
Primary
13114804022
KS

Other

Enumeration date
12/06/2012
Last updated
06/11/2015
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