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1720604465
CASEY LEE HALLBERG
FLAGSTAFF, AZ
NPI
1720604465
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AZ D010712)
Enumeration Date
2020-06-18
Last Update Date
2020-06-18
Business Address
Dr. CASEY LEE HALLBERG DMD
2222 E CEDAR AVE
FLAGSTAFF, AZ 86004-1988
Phone number: 928-774-4412
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Mailing Address
Dr. CASEY LEE HALLBERG DMD
2222 E CEDAR AVE
FLAGSTAFF, AZ 86004-1988
Phone number: 928-774-4412
Copy
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