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1093334757
LOGAN TAYLOR HAYES
DIAMOND SPRINGS, CA
NPI
1093334757
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-04-13
Last Update Date
2020-04-13
Business Address
LOGAN TAYLOR HAYES MHW
768 PLEASANT VALLEY RD STE 201
DIAMOND SPRINGS, CA 95619-9260
Phone number: 916-221-8697
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Mailing Address
LOGAN TAYLOR HAYES MHW
2642 BERTELLA RD
CAMERON PARK, CA 95682-4076
Phone number: 916-221-8697
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