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Individual

DOYLE HASLEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CSFA

Contact information

Practice address
3237 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-1222
(928) 772-5320
(928) 772-5319
Mailing address
3237 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-1222
(928) 772-5320
(928) 772-5319

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
118888
NV

Other

Enumeration date
12/11/2016
Last updated
12/11/2016
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