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1093852329
MAX BLANE BULLEN
MONTGOMERY, AL
NPI
1093852329
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1-054439)
Enumeration Date
2007-01-30
Last Update Date
2012-10-15
Business Address
-- MAX BLANE BULLEN
BAPITIST MEDICAL CENTER SOUTH,2105 EAST SOUTH BOULEVARD
MONTGOMERY, AL 38111-0010
Phone number: 334-288-2100
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Mailing Address
-- MAX BLANE BULLEN
144 CANTER WAY
ALABASTER, AL 35007-7610
Phone number: 205-621-5240
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