Individual
KATIE JO HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
328 JOHNSON ST, WOLF POINT, MT 59201-1814
(406) 531-7284
Mailing address
328 JOHNSON ST, WOLF POINT, MT 59201-1814
(406) 531-7284
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
38306
MT
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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