Jackson Edgar Haen
Jackson Edgar Haen is a Nutritionist in Laramie, Wyoming. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
552 N Pine StLaramie, WY 82072-2451
Phone: (720) 256-4685
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nutritionist (primary) | Taxonomy 133N00000X |
|---|
Record details
| NPI number | 1033806021 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 19, 2023 |
| Last updated in NPPES | April 19, 2023 |
| Certification date | April 19, 2023 |
| Mailing address | 552 N Pine St, Laramie, WY 82072-2451 |
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