DAVID FAIRCLOTH

GAINESVILLE, GA
NPI1831767953
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
Additional Taxonomies311Z00000X Custodial Care Facility
Enumeration Date2021-06-15
Last Update Date2021-06-15
Business Address
DAVID FAIRCLOTH
9160 LAKESIDE WAY
GAINESVILLE, GA 30506-6224
Phone number: 678-777-3441
Mailing Address
DAVID FAIRCLOTH
9160 LAKESIDE WAY
GAINESVILLE, GA 30506-6224
Phone number: 678-777-3441
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