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1386136448
MICHAEL JOHN HALEY
COLTON, CA
NPI
1386136448
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 291745)
Enumeration Date
2018-06-05
Last Update Date
2018-06-05
Business Address
MICHAEL JOHN HALEY
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3145
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Mailing Address
MICHAEL JOHN HALEY
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3145
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