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Individual

MR. SCOTT KENNETH HAESE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MPH, RD, LN

Contact information

Practice address
1984 CAMEO DR, ALAMOGORDO, NM 88310-8508
(575) 491-2572
(320) 213-9346
Mailing address
1984 CAMEO DR, ALAMOGORDO, NM 88310-8508
(575) 491-2572
(320) 213-9346

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
328
NM
133V00000X
Registered Dietitian
Primary
717594
NM

Other

Enumeration date
01/07/2014
Last updated
01/07/2014
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