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1003299074
MAMIE KENNEDY
BREWTON, AL
NPI
1003299074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-116711)
Enumeration Date
2015-07-08
Last Update Date
2015-07-08
Business Address
-- MAMIE KENNEDY CRNP
1121 BELLEVILLE AVE
BREWTON, AL 36426-1500
Phone number: 251-809-3208
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Mailing Address
-- MAMIE KENNEDY CRNP
1121 BELLEVILLE AVE
BREWTON, AL 36426-1500
Phone number: 251-809-3208
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