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Individual

MS. TERRI LYNN HALL

Active
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Individual

MS. TERRI LYNN HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA.0003699
CO
363AS0400X
Surgical Physician Assistant
PA10004696
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
94453373
CO
01
G8902663
MEDICARE
WA
01
G8902664
MEDICARE
WA
Enumeration date
03/29/2007
Last updated
03/28/2016
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