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1245728567
HALEY DAWN GOSVENER
FAIRFIELD, CA
NPI
1245728567
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 692481)
Enumeration Date
2018-04-23
Last Update Date
2018-04-23
Business Address
Ms. HALEY DAWN GOSVENER
1234 EMPIRE ST STE 2200
FAIRFIELD, CA 94533-5711
Phone number: 707-648-8121
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Mailing Address
Ms. HALEY DAWN GOSVENER
5013 PEABODY RD # A
FAIRFIELD, CA 94533-8907
Phone number: 707-208-4604
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