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1043626997
JEROME C HAILEY
BRIDGEPORT, CT
NPI
1043626997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2014-07-10
Last Update Date
2014-08-12
Business Address
Mr. JEROME C HAILEY
215 DANIELS AVE
BRIDGEPORT, CT 06606-1513
Phone number: 860-558-9143
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Mailing Address
Mr. JEROME C HAILEY
215 DANIELS AVE
BRIDGEPORT, CT 06606-1513
Phone number: 860-558-9143
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