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1073586210
LEE B FANT
BIRMINGHAM, AL
NPI
1073586210
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1-048348)
Enumeration Date
2006-02-08
Last Update Date
2007-07-09
Business Address
Mrs. LEE B FANT CRNA
7500 HUGH DANIEL DR
BIRMINGHAM, AL 35242-7148
Phone number: 205-995-9169
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Mailing Address
Mrs. LEE B FANT CRNA
PO BOX 235022
MONTGOMERY, AL 36123-5022
Phone number: 334-386-2055
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