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1407832728
JASON P HAACK
EVANSTON, WY
NPI
1407832728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery
(Licence: WY 7953A)
Enumeration Date
2005-12-19
Last Update Date
2017-03-15
Business Address
JASON P HAACK M.D.
191 OVERTHRUST RD
EVANSTON, WY 82930-9261
Phone number: 307-789-8721
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Mailing Address
JASON P HAACK M.D.
191 OVERTHRUST RD
EVANSTON, WY 82930-9261
Phone number: 307-789-8721
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