JIMMIE COUNCIL BLAN

MOBILE, AL
NPI1093048332
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: AL  PA1692)
Enumeration Date2009-09-17
Last Update Date2010-07-27
Business Address
-- JIMMIE COUNCIL BLAN PA
100 MEMORIAL HOSPITAL DR SUITE 3A
MOBILE, AL 36608-1183
Phone number: 251-342-2641
Mailing Address
-- JIMMIE COUNCIL BLAN PA
100 MEMORIAL HOSPITAL DR SUITE 3A
MOBILE, AL 36608-1183
Phone number: 251-342-2641
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