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Individual

JERRY WAYNE HASTINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.S.

Contact information

Practice address
2409 HOMER CLAYTON DRIVE, GUNTERSVILLE, AL 35976
(256) 582-3203
Mailing address
2409 HOMER CLAYTON DRIVE, GUNTERSVILLE, AL 35976

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/10/2019
Last updated
09/10/2019
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