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1659819076
HALEY JACOB
LA CROSSE, WI
NPI
1659819076
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
405300000X Prevention Professional
(Licence: WI 1901-39)
Enumeration Date
2017-02-06
Last Update Date
2017-02-06
Business Address
-- HALEY JACOB
1725 STATE ST 126 MITCHELL HALL
LA CROSSE, WI 54601-3742
Phone number: 216-978-1173
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Mailing Address
-- HALEY JACOB
18442 HIGH PKWY
ROCKY RIVER, OH 44116-2829
Phone number:
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