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Ada M Hall

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NPI Number Detailed Information

Provider Information:

Name: Ada M Hall
Gender: F
Provider License Number If Given: 27461

NPI Information:

NPI: 1184619660
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 2/10/2012

Provider Business Mailing Address:

Address: 1550 MIDWAY PL
Menasha, WI 54952
Phone Number: 9207278280
Fax Number:

Provider Business Practice Location Address:

Address: 1550 MIDWAY PL
Menasha, WI 54952
Phone Number: 9207278280
Fax Number:

Provider Taxonomy:

Primary: 207W00000X
Secondary (if any):
State: WI

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