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DAVID FAIRCLOTH

Attendant Care Provider

NPI: 1831767953Individual

Specialties, Licenses & Credentials

Custodial Care Facility

Code: 311Z00000X

Technician — Attendant Care Provider

Code: 3747A0650X

Contact & Hours

Address
9160 LAKESIDE WAY
GAINESVILLE, GA 30506

Quick Facts

NPI
1831767953
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
1

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