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Individual

MARK HAYNES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RETAIL FURNITURE

Contact information

Practice address
5089 TAMMY LITTLE DR, SECTION, AL 35771-7244
(256) 228-3577
(256) 228-3577
Mailing address
5089 TAMMY LITTLE DR, SECTION, AL 35771-7244
(256) 228-3577
(256) 228-3577

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
AL

Other

Enumeration date
12/15/2006
Last updated
07/08/2007
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