DEWAYNE CARL HAVERSTICK

FORT RUCKER, AL
NPI1770830960
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy146L00000X Emergency Medical Technician, Paramedic
(Licence: AL  0800200)
Enumeration Date2012-08-07
Last Update Date2012-08-07
Business Address
-- DEWAYNE CARL HAVERSTICK NREMTP
453 SOUTH NOVACEL DR
FORT RUCKER, AL 36362
Phone number: 251-518-9110
Mailing Address
-- DEWAYNE CARL HAVERSTICK NREMTP
104 S SPRINGVIEW DR
ENTERPRISE, AL 36330-5060
Phone number: 251-518-9110
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