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Individual

ANNA CONETTA HAAKENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2945 S DOBSON RD, MESA, AZ 85202-7941
(480) 969-4138
Mailing address
2320 N 3RD ST, PHOENIX, AZ 85004-1303

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5895
AZ

Other

Enumeration date
10/27/2014
Last updated
08/12/2022
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