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1073968020
JASON EUGENE VICE
BIRMINGHAM, AL
NPI
1073968020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: AL 4153)
Enumeration Date
2016-04-27
Last Update Date
2017-02-15
Business Address
-- JASON EUGENE VICE OTR/L
1720 UNIVERSITY BLVD SUITE 405
BIRMINGHAM, AL 35233-1816
Phone number: 205-488-0736
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Mailing Address
-- JASON EUGENE VICE OTR/L
P.O. BOX 830941, MSC 559
BIRMINGHAM, AL 35283
Phone number: 205-325-8536
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