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1013351758
KATHERINE MANGE
BIRMINGHAM, AL
NPI
1013351758
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: AL 1-085113)
Enumeration Date
2013-04-24
Last Update Date
2024-02-01
Business Address
KATHERINE MANGE
619 19TH ST S
BIRMINGHAM, AL 35249-1801
Phone number: 205-934-4011
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Mailing Address
KATHERINE MANGE
PO BOX 55310
BIRMINGHAM, AL 35255-5310
Phone number: 205-731-9050
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