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1194372201
DESMOND NEWKIRK
FAYETTEVILLE, GA
NPI
1194372201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146L00000X Emergency Medical Technician, Paramedic
(Licence: GA 12693)
Enumeration Date
2019-08-22
Last Update Date
2019-08-22
Business Address
DESMOND NEWKIRK
185 BRADFORD SQ STE C
FAYETTEVILLE, GA 30215-1932
Phone number: 770-780-5532
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Mailing Address
DESMOND NEWKIRK
683POWNAL LN
HAMPTON, GA 30228
Phone number: 770-780-5532
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