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1952140576
EARLINE HAYNES
LAKE CITY, FL
NPI
1952140576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician Attendant Care Provider
Enumeration Date
2024-05-22
Last Update Date
2024-05-22
Business Address
EARLINE HAYNES
452 NW LONG ST
LAKE CITY, FL 32055-1981
Phone number: 386-406-0439
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Mailing Address
EARLINE HAYNES
452 NW LONG ST
LAKE CITY, FL 32055-1981
Phone number: 386-406-0439
Copy
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