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1104176700
PURE DERMATOLOGY & AESTHETICS, PC
HOOVER, AL
NPI
1104176700
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Entity Type
Organization
Authorized Contact
ELIZABETH SHANNON MARTIN
Physician
205-682-8022
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: AL 21915)
Enumeration Date
2012-09-12
Last Update Date
2012-09-12
Business Address
PURE DERMATOLOGY & AESTHETICS, PC
5346 STADIUM TRACE PKWY SUITE 100
HOOVER, AL 35244-4582
Phone number: 205-682-8022
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Mailing Address
PURE DERMATOLOGY & AESTHETICS, PC
5346 STADIUM TRACE PKWY SUITE 100
HOOVER, AL 35244-4582
Phone number: 205-682-8022
Copy
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