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Individual

MR. GENARIS HASTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1213 ROSEGATE BLVD, RIVIERA BEACH, FL 33404-1821
(561) 844-2799
(561) 841-8237
Mailing address
PO BOX 221374, WEST PALM BEACH, FL 33422-1374
(561) 768-3600
(561) 841-8237

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
FL

Other

Enumeration date
06/05/2007
Last updated
01/04/2008
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