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1083890073
STARLA K SHOUPE
DOTHAN, AL
NPI
1083890073
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1-033501)
Enumeration Date
2008-01-21
Last Update Date
2008-01-21
Business Address
-- STARLA K SHOUPE CRNA
1108 ROSS CLARK CIR
DOTHAN, AL 36301-3022
Phone number: 334-793-8087
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Mailing Address
-- STARLA K SHOUPE CRNA
PO BOX 1928
DOTHAN, AL 36302-1928
Phone number: 334-793-8087
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