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Individual

MRS. HALEY PAIGE MCDOUGAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
245 ROCHESTER HILL RD STE 1, ROCHESTER, NH 03867-3245
(603) 335-2401
Mailing address
47 SALMON FALLS RD, SOMERSWORTH, NH 03878-2813
(603) 493-2040

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
071674-23
NH
363L00000X
Nurse Practitioner
Primary
071674-23
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
071674-23
APRN LICENSE
NH
Enumeration date
09/03/2021
Last updated
09/29/2021
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