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Individual

ALLISEN HAYNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
225 3RD ST SE, MINOT, ND 58701-3958
(701) 852-3552
Mailing address
PO BOX 2209, MINOT, ND 58702-2209

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
10/04/2023
Last updated
10/04/2023
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