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1942874052
HAILEY RENEE COUGHER
VALLEJO, CA
NPI
1942874052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2021-05-14
Last Update Date
2021-05-14
Business Address
HAILEY RENEE COUGHER
1310 CLUB DR
VALLEJO, CA 94592-1187
Phone number: 707-638-5809
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Mailing Address
HAILEY RENEE COUGHER
PO BOX 4729
VALLEJO, CA 94590-6729
Phone number: 360-490-4193
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