MRS. Gina Lee Haberl

NPI #1982866042 in Waterloo, Illinois

Provider Information

NPI Number: 1982866042
Entity Type: Individual
Name: MRS. Gina Lee Haberl
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jun 30, 2008
Last Updated: Jun 30, 2008

Practice Location

Address: 108 EVERGREEN CT
City: Waterloo
State: Illinois
ZIP Code: 62298-1611
Phone: (618) 939-8464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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