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1124020631
CARLA ANN HAIRSTON
NACOGDOCHES, TX
NPI
1124020631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 431310)
Enumeration Date
2005-08-15
Last Update Date
2023-05-23
Business Address
CARLA ANN HAIRSTON RN,FNP
1002 N MOUND ST
NACOGDOCHES, TX 75961-4437
Phone number: 936-560-3800
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Mailing Address
CARLA ANN HAIRSTON RN,FNP
1204 N MOUND ST
NACOGDOCHES, TX 75961-4027
Phone number: 936-568-8425
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