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1457030652
DAVID HATTER
RIVERDALE, GA
NPI
1457030652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: FL PN5259414)
Enumeration Date
2023-07-14
Last Update Date
2023-07-14
Business Address
DAVID HATTER
792 RUSSELL DR
RIVERDALE, GA 30296-1299
Phone number: 734-666-8353
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Mailing Address
DAVID HATTER
8055 BAMBY LN
JONESBORO, GA 30236-3309
Phone number: 734-666-8353
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