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1093759805
HUGH RANDALL LATHAM
TUSCALOOSA, AL
NPI
1093759805
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: AL PA-137)
Enumeration Date
2006-06-15
Last Update Date
2007-07-08
Business Address
Mr. HUGH RANDALL LATHAM PA
305 PAUL BRYANT DR E
TUSCALOOSA, AL 35401-2094
Phone number: 205-345-0192
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Mailing Address
Mr. HUGH RANDALL LATHAM PA
305 PAUL BRYANT DR E
TUSCALOOSA, AL 35401-2094
Phone number: 205-345-0192
Copy
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