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Individual

DR. KATHRYN R. HARALDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
230 E 8TH ST, SUITE #5, LOCKPORT, IL 60441-3081
(815) 838-6102
(815) 838-6281
Mailing address
230 E 8TH ST, SUITE #5, LOCKPORT, IL 60441-3081
(815) 838-6102
(815) 838-6281

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.024257
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1568467702
GROUP NPI
Enumeration date
06/20/2008
Last updated
06/20/2008
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