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1003436361
YUTIV FUQUA
HUNTSVILLE, AL
NPI
1003436361
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AL 2-066064)
Enumeration Date
2020-04-16
Last Update Date
2020-04-16
Business Address
Mr. YUTIV FUQUA LPN
4040 MEMORIAL PKWY SW
HUNTSVILLE, AL 35802-4364
Phone number: 256-533-1970
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Mailing Address
Mr. YUTIV FUQUA LPN
4040 MEMORIAL PKWY SW
HUNTSVILLE, AL 35802-4364
Phone number: 256-533-1970
Copy
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