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Individual

MR. WALTER EUGENE HAYLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LIC. AC.

Contact information

Practice address
26721 DUBLIN WOODS CIRCLE, #2, BONITA SPRINGS, FL 34135
(239) 273-6788
Mailing address
26721 DUBLIN WOODS CIRCLE, #2, BONITA SPRINGS, FL 34135
(239) 273-6788

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP1023
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C0391
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/10/2007
Last updated
07/08/2007
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