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1063927416
GRACE CHARITY
MONTGOMERY, AL
NPI
1063927416
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-139053)
Enumeration Date
2017-12-07
Last Update Date
2017-12-07
Business Address
GRACE CHARITY
136 KENTUCKY OAKS
MONTGOMERY, AL 36117-6704
Phone number: 334-300-6225
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Mailing Address
GRACE CHARITY
136 KENTUCKY OAKS
MONTGOMERY, AL 36117-6704
Phone number:
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