Individual
MR. EDRIAN J HAIRSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS ATC LAT
Contact information
Practice address
STETSON UNIVERSITY 421 N WOODLAND BLVD, UNIT 8317, DELAND, FL 32723-0001
(386) 822-7166
Mailing address
401 W SEMINOLE BLVD, APT 150, SANFORD, FL 32771-1200
(386) 822-7166
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 2455
FL
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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