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1285845230
MARTIN DENNIS HAIRSTON
COVINGTON, GA
NPI
1285845230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: GA RN100613)
Enumeration Date
2007-05-24
Last Update Date
2007-07-08
Business Address
Mr. MARTIN DENNIS HAIRSTON RN
215 KIRKLAND RD
COVINGTON, GA 30016-3318
Phone number: 678-729-9900
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Mailing Address
Mr. MARTIN DENNIS HAIRSTON RN
3965 ANNA MARIA CT
CLARKSTON, GA 30021-2701
Phone number: 404-292-6393
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