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1003148503
JOHN HALEY SHAW
RED BLUFF, CA
NPI
1003148503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
Enumeration Date
2010-02-08
Last Update Date
2010-02-08
Business Address
-- JOHN HALEY SHAW
1860 WALNUT ST
RED BLUFF, CA 96080-3611
Phone number: 530-527-5637
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Mailing Address
-- JOHN HALEY SHAW
14960 OAK KNOLL DR
RED BLUFF, CA 96080-9410
Phone number: 530-510-7067
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