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1538873351
LEAH MARIE PETERSON HAILE
GARDEN CITY, ID
NPI
1538873351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ID 67975)
Enumeration Date
2023-01-06
Last Update Date
2023-01-06
Business Address
LEAH MARIE PETERSON HAILE PMHNP-BC
5860 ENSIGN AVE
GARDEN CITY, ID 83714-1240
Phone number: 616-821-8427
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Mailing Address
LEAH MARIE PETERSON HAILE PMHNP-BC
5860 ENSIGN AVE
GARDEN CITY, ID 83714-1240
Phone number:
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