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1053949008
HALEY BROOKE PONGETTI
HUNTSVILLE, AL
NPI
1053949008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-162748)
Enumeration Date
2020-03-27
Last Update Date
2020-03-27
Business Address
HALEY BROOKE PONGETTI CRNP
101 SIVLEY RD SW
HUNTSVILLE, AL 35801-4421
Phone number: 256-265-1000
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Mailing Address
HALEY BROOKE PONGETTI CRNP
400 WHITESPORT DR SW
HUNTSVILLE, AL 35801-6452
Phone number: 256-880-0455
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