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1295006013
KEITHLEY ELISE HALE
SANTA ANA, CA
NPI
1295006013
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Other Name
KEITHLEY ELISE HALE-AGLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-01-25
Last Update Date
2012-01-25
Business Address
-- KEITHLEY ELISE HALE
1618 W 1ST ST
SANTA ANA, CA 92703-3614
Phone number: 714-558-6009
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Mailing Address
-- KEITHLEY ELISE HALE
23021 LAUREL GROVE CIR
LAKE FOREST, CA 92630-4027
Phone number: 949-632-8731
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