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1821585332
DEJANAE HAIRSTON
SAN DIEGO, CA
NPI
1821585332
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2018-04-19
Last Update Date
2018-04-19
Business Address
DEJANAE HAIRSTON IDC
34800 BOB WILSON DRIVE
SAN DIEGO, CA 92134
Phone number: 619-532-6666
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Mailing Address
DEJANAE HAIRSTON IDC
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number:
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