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1104195080
HALEY WILLETT BRIGNAC
DOTHAN, AL
NPI
1104195080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1133481)
Enumeration Date
2011-12-21
Last Update Date
2011-12-21
Business Address
Mrs. HALEY WILLETT BRIGNAC CRNA
1108 ROSS CLARK CIR
DOTHAN, AL 36301-3022
Phone number: 334-793-8087
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Mailing Address
Mrs. HALEY WILLETT BRIGNAC CRNA
PO BOX 1928
DOTHAN, AL 36302-1928
Phone number: 334-793-8087
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