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Individual

EDMUND A HASENJAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
352 COOLEY ST, SPRINGFIELD, MA 01128-1144
(413) 782-6401
(413) 782-8760
Mailing address
352 COOLEY ST, SPRINGFIELD, MA 01128-1144
(413) 782-6401
(413) 782-8760

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
4961
MA

Other

Enumeration date
01/26/2007
Last updated
07/08/2007
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