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1053349753
BRENDA LIVELY
BIRMINGHAM, AL
NPI
1053349753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AL 1-47301)
Enumeration Date
2006-06-29
Last Update Date
2007-07-08
Business Address
-- BRENDA LIVELY CRNP
1526 5TH AVE S
BIRMINGHAM, AL 35233-1615
Phone number: 205-279-2860
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Mailing Address
-- BRENDA LIVELY CRNP
PO BOX 55845
BIRMINGHAM, AL 35255-5845
Phone number:
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