Individual
RICHARD HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
42035 235TH RD, RAVENNA, NE 68869-3400
(402) 760-1110
Mailing address
42035 235TH RD, RAVENNA, NE 68869-3400
(402) 760-1110
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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