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Individual

JASON KEMUEL HAUGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1896
(517) 364-1000
Mailing address
1740 COUNTRY VIEW DR, OKEMOS, MI 48864-3812
(269) 209-5122

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704276203
MI
363LF0000X
Family Nurse Practitioner
Primary
F07211240
MI

Other

Enumeration date
09/24/2021
Last updated
09/24/2021
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