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1568860708
DERICK L HAIRSTON
CAPITOL HEIGHTS, MD
NPI
1568860708
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2014-12-19
Last Update Date
2015-01-09
Business Address
Mr. DERICK L HAIRSTON CPT
612 LARCHMONT AVE
CAPITOL HEIGHTS, MD 20743-2839
Phone number: 202-910-2252
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Mailing Address
Mr. DERICK L HAIRSTON CPT
612 LARCHMONT AVE BLOODWORKS
CAPITOL HEIGHTS, MD 20743-2839
Phone number: 202-910-2252
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