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1902578925
HALEY NICOLE MORTIN
LANDER, WY
NPI
1902578925
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2021-09-28
Last Update Date
2021-09-28
Business Address
Miss HALEY NICOLE MORTIN PA-C
745 BUENA VISTA DR # 82520
LANDER, WY 82520-3431
Phone number: 307-332-2941
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Mailing Address
Miss HALEY NICOLE MORTIN PA-C
5890 S SWEET GUM WAY
BOISE, ID 83716-6968
Phone number: 208-298-7443
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