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1104416486
HALEY BOLEN
NORTHPORT, AL
NPI
1104416486
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-145272)
Enumeration Date
2021-01-21
Last Update Date
2021-01-21
Business Address
HALEY BOLEN CRNP
1116 MITT LARY RD
NORTHPORT, AL 35475-4978
Phone number: 205-556-5634
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Mailing Address
HALEY BOLEN CRNP
1116 MITT LARY RD
NORTHPORT, AL 35475-4978
Phone number: 205-556-5634
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