Provider Information for 1558703959
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FAITH HAYES
Sex: Female
NPI: 1558703959
Last Updated: 2013-07-25
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1558703959 | ||||||||
| Enumeration Date | 2013-07-25 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 8035 GLENWOOD ST HIGHLAND, IN 46322-1323 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 6111 HARRISON ST MERRILLVILLE, IN 46410-2969 United States Phone: 708-404-2476 | Fax: | ||||||||
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