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1790701498
JACK W. HAAS
GLENDIVE, MT
NPI
1790701498
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MT 394)
Enumeration Date
2006-07-14
Last Update Date
2014-01-30
Business Address
-- JACK W. HAAS PA-C
202 PROSPECT DR
GLENDIVE, MT 59330-1943
Phone number: 406-345-3306
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Mailing Address
-- JACK W. HAAS PA-C
202 PROSPECT DR
GLENDIVE, MT 59330-1943
Phone number: 406-345-3306
Copy
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