Individual
KEVIN HAUGABOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8604 JACOB PL, NIAGARA FALLS, NY 14304-2518
(716) 523-9912
Mailing address
8604 JACOB PL, NIAGARA FALLS, NY 14304-2518
(716) 523-9912
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
NY
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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