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1043939218
TAMMY KEENUM
MOULTON, AL
NPI
1043939218
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AL 2-407831)
Enumeration Date
2022-08-23
Last Update Date
2022-08-23
Business Address
TAMMY KEENUM LPN
295 HOSPITAL ST
MOULTON, AL 35650-1210
Phone number: 256-974-6697
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Mailing Address
TAMMY KEENUM LPN
1316 SOMERVILLE RD SE STE 1
DECATUR, AL 35601-4309
Phone number: 256-260-7361
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