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Individual

TERRY W HARGENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2 SEARS CT, KEOKUK, IA 52632-2547
(319) 795-2033
Mailing address
2 SEARS CT, KEOKUK, IA 52632-2547
(319) 795-2033

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
650606
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CO8034H1
TX
Enumeration date
02/27/2007
Last updated
07/08/2007
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