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1508580580
HALEY LARA
SURPRISE, AZ
NPI
1508580580
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 326252)
Enumeration Date
2022-10-03
Last Update Date
2022-10-03
Business Address
HALEY LARA LPN
10909 N PERRYVILLE RD
SURPRISE, AZ 85388-9713
Phone number: 623-876-7000
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Mailing Address
HALEY LARA LPN
15608 W ACAPULCO LN
SURPRISE, AZ 85379-6225
Phone number: 210-978-6909
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