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Individual

DR. JAIME LYNN HAALAND

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
10 1ST ST SW, MINOT, ND 58701-3859
(701) 839-5000
(701) 852-4072
Mailing address
10200 100TH ST SW, MINOT, ND 58701-8934
(701) 722-5501

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
623
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25230
BCBS
ND
05
60606
ND
Enumeration date
01/18/2006
Last updated
07/08/2007
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