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Individual

MS. LOUISE CANTEY HASELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4038 RHODES AVE, NEW BOSTON, OH 45662-5527
(740) 353-3236
(740) 353-4801
Mailing address
4038 RHODES AVE, NEW BOSTON, OH 45662-5527
(740) 353-3236
(740) 353-4803

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35070810
OH
207R00000X
Internal Medicine Physician
41245
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2002380
OH
05
64953771
KY
01
P00373245
RR MEDICARE
OH
Enumeration date
05/02/2006
Last updated
03/11/2020
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