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Individual

MERCEDES EVELYN HAILE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1989 MESQUITE AVE UNIT 1, LAKE HAVASU CITY, AZ 86403-5730
(928) 208-6100
Mailing address
1989 MESQUITE AVE UNIT 1, LAKE HAVASU CITY, AZ 86403-5730
(928) 208-6100

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
AZ

Other

Enumeration date
09/30/2020
Last updated
09/30/2020
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