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Individual

URSULA A HAASE-MACMILLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CP

Contact information

Practice address
125 CIRO AVE STE 240, SAN JOSE, CA 95128-1671
(408) 248-9840
Mailing address
125 CIRO AVE STE 240, SAN JOSE, CA 95128-1671
(408) 248-9840

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary

Other

Enumeration date
10/18/2007
Last updated
10/18/2007
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