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1558475699
MARK MASON HALEY
SAN LUIS OBISPO, CA
NPI
1558475699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA17394)
Enumeration Date
2006-08-18
Last Update Date
2010-03-12
Business Address
-- MARK MASON HALEY PA
ONE GRAND AVE
SAN LUIS OBISPO, CA 93407-0210
Phone number: 805-756-1211
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Mailing Address
-- MARK MASON HALEY PA
ONE GRAND AVE
SAN LUIS OBISPO, CA 93407-0210
Phone number: 805-756-1211
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