Provider Information for 1386000891
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LINNEA HAUN MS, PPC
Sex: Female
NPI: 1386000891
Last Updated: 2024-05-01
Certification Date: 2024-05-01
Certification Date: 2024-05-01
Details
| Name | Value | ||||||||||||
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| NPI | 1386000891 | ||||||||||||
| Enumeration Date | 2016-01-13 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 510 W 29TH ST CHEYENNE, WY 82001-2760 United States Phone: 307-426-4728 | Fax: | ||||||||||||
| Primary Practice Address | 510 W 29TH ST CHEYENNE, WY 82001-2760 United States Phone: 307-426-4728 | Fax: | ||||||||||||
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