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1104254101
DEIDRA FARRIS
BIRMINGHAM, AL
NPI
1104254101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1-048479)
Enumeration Date
2013-10-29
Last Update Date
2013-10-29
Business Address
-- DEIDRA FARRIS CRNA
1600 7TH AVE S
BIRMINGHAM, AL 35233-1711
Phone number: 205-638-5246
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Mailing Address
-- DEIDRA FARRIS CRNA
1525 PUMPHOUSE CT
VESTAVIA, AL 35243-6000
Phone number: 205-541-2306
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