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Individual

MISS LISA MARIE HAAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1000 MAIN ST, CHADRON, NE 69337-2690
(308) 432-7013
(308) 432-6493
Mailing address
449 W 2ND ST, CHADRON, NE 69337-2201
(402) 917-3440

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
554
NE

Other

Enumeration date
07/30/2012
Last updated
10/07/2022
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