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1164034088
KRIS DOUGLAS HALLIWELL
LEBANON, NH
NPI
1164034088
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: NH 060865-23)
Enumeration Date
2020-08-21
Last Update Date
2020-08-24
Business Address
KRIS DOUGLAS HALLIWELL APRN
1 MEDICAL CENTER DR
LEBANON, NH 03756-0001
Phone number: 603-650-5104
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Mailing Address
KRIS DOUGLAS HALLIWELL APRN
1 MEDICAL CENTER DR
LEBANON, NH 03756-1000
Phone number: 603-650-5104
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