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1013528579
ELISE DEBRULER AGOSTINELLI
BIRMINGHAM, AL
NPI
1013528579
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Former Name
ELISE DEBRULER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: AL S-E53-TA-B84)
Enumeration Date
2020-08-10
Last Update Date
2021-06-28
Business Address
ELISE DEBRULER AGOSTINELLI OD
1720 UNIVERSITY BLVD
BIRMINGHAM, AL 35233-1816
Phone number: 205-488-0736
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Mailing Address
ELISE DEBRULER AGOSTINELLI OD
1720 UNIVERSITY BLVD
BIRMINGHAM, AL 35233-1816
Phone number:
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