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1982034021
SUDITH EMIS HAIRSTON
NEWPORT NEWS, VA
NPI
1982034021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: VA 0131000803)
Enumeration Date
2013-11-26
Last Update Date
2013-11-26
Business Address
-- SUDITH EMIS HAIRSTON COTA/L
50 WELLESLEY DR
NEWPORT NEWS, VA 23606-4046
Phone number: 757-930-1075
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Mailing Address
-- SUDITH EMIS HAIRSTON COTA/L
47 RICHLAND DR
NEWPORT NEWS, VA 23608-1308
Phone number: 757-971-1110
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