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1043235963
VICKI M BLACKWELL
VESTAVIA HILLS, AL
NPI
1043235963
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Former Name
VICKI M BURLESON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: AL PA-104)
Enumeration Date
2006-07-12
Last Update Date
2023-08-24
Business Address
Ms. VICKI M BLACKWELL PA
2010 PATTON CHAPEL RD STE 200
VESTAVIA HILLS, AL 35216-5784
Phone number: 205-910-7599
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Mailing Address
Ms. VICKI M BLACKWELL PA
2010 PATTON CHAPEL RD STE 200
VESTAVIA HILLS, AL 35216-5784
Phone number: 205-910-7599
Copy
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