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1164136222
HALEY ISHAM LAWSON
FE WARREN AFB, WY
NPI
1164136222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
171000000X Military Health Care Provider
Enumeration Date
2023-01-12
Last Update Date
2024-02-28
Business Address
HALEY ISHAM LAWSON PA-C
6900 ALDEN DR BLDG 160
FE WARREN AFB, WY 82005-3913
Phone number: 920-573-2944
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Mailing Address
HALEY ISHAM LAWSON PA-C
6900 ALDEN DR BLDG 160
FE WARREN AFB, WY 82005-3913
Phone number: 920-573-2944
Copy
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