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1083354310
KENNON POUNCEY BRAKE
BIRMINGHAM, AL
NPI
1083354310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-01
Last Update Date
2022-04-01
Business Address
KENNON POUNCEY BRAKE MD
625 19TH ST S
BIRMINGHAM, AL 35233-1900
Phone number: 205-638-9589
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Mailing Address
KENNON POUNCEY BRAKE MD
625 19TH STREET SOUTH
BIRMINGHAM, AL 35249-1900
Phone number:
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