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1659112886
SHAMIKA R HAIRSTON
PEACHTREE CORNERS, GA
NPI
1659112886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2024-06-03
Last Update Date
2024-06-03
Business Address
SHAMIKA R HAIRSTON
1321 WYNFIELD TRCE
PEACHTREE CORNERS, GA 30092-4562
Phone number: 347-352-5954
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Mailing Address
SHAMIKA R HAIRSTON
1321 WYNFIELD TRCE
PEACHTREE CORNERS, GA 30092-4562
Phone number: 347-352-5954
Copy