Provider Information for 1063012680
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HALEIGH CAMERON
Sex: Female
NPI: 1063012680
Last Updated: 2020-11-01
Certification Date: 2020-11-01
Certification Date: 2020-11-01
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1063012680 | ||||||||
| Enumeration Date | 2020-11-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1300 N 17TH AVE GREELEY, CO 80631-9584 United States Phone: 970-347-2120 | Fax: | ||||||||
| Primary Practice Address | 1300 N 17TH AVE GREELEY, CO 80631-9584 United States Phone: 970-347-2120 | Fax: | ||||||||
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