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1083832968
SELF CENTER PC
FAIRHOPE, AL
NPI
1083832968
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Entity Type
Organization
Authorized Contact
KARL STANLEY SELF
Owner
251-928-8760
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AL 6916)
Enumeration Date
2007-04-23
Last Update Date
2008-06-13
Business Address
SELF CENTER PC
306 S GREENO RD SUITE A
FAIRHOPE, AL 36532-1905
Phone number: 251-928-8760
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Mailing Address
SELF CENTER PC
306 S GREENO RD SUITE A
FAIRHOPE, AL 36532-1905
Phone number: 251-928-8760
Copy
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