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1104028190
PAMELA C HAIRSTON
UPPER MARLBORO, MD
NPI
1104028190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 20344)
Enumeration Date
2007-06-03
Last Update Date
2008-07-14
Business Address
Ms. PAMELA C HAIRSTON DPT
14021 REVEREND BOUCHER PL
UPPER MARLBORO, MD 20772-5959
Phone number: 301-627-1823
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Mailing Address
Ms. PAMELA C HAIRSTON DPT
14021 REVEREND BOUCHER PL
UPPER MARLBORO, MD 20772-5959
Phone number: 301-627-1823
Copy
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