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1093285611
CHARMAINE DIANE HARRIS
MOBILE, AL
NPI
1093285611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AL 1-098080)
Enumeration Date
2018-11-26
Last Update Date
2019-03-12
Business Address
CHARMAINE DIANE HARRIS CRNP
3719 DAUPHIN ST
MOBILE, AL 36608
Phone number: 251-382-4154
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Mailing Address
CHARMAINE DIANE HARRIS CRNP
3719 DAUPHIN ST
MOBILE, AL 36608-1753
Phone number: 251-382-4154
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