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1821039017
KATHLEEN EGAN HAISLEY
KETCHUM, ID
NPI
1821039017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M6381)
Enumeration Date
2006-06-09
Last Update Date
2007-12-17
Business Address
-- KATHLEEN EGAN HAISLEY MD
100 HOSPITAL DRIVE
KETCHUM, ID 83340
Phone number: 208-727-8100
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Mailing Address
-- KATHLEEN EGAN HAISLEY MD
PO BOX 100
KETCHUM, ID 83340-0100
Phone number: 208-727-8100
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