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Individual

ERIN KATHLEEN HAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
38578
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
207K00000X
MT
01
38578
LICENSE
MT
Enumeration date
06/17/2010
Last updated
06/21/2016
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