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1104001460
MARGARET E GJELLUM
ENTERPRISE, AL
NPI
1104001460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 029857)
Enumeration Date
2008-01-07
Last Update Date
2008-01-07
Business Address
-- MARGARET E GJELLUM CRNA
400 N EDWARDS ST
ENTERPRISE, AL 36330-2510
Phone number: 333-347-0584
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Mailing Address
-- MARGARET E GJELLUM CRNA
91 LAUREL BREEZE DR
ENTERPRISE, AL 36330-7841
Phone number: 333-347-0584
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