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1104279892
JUSTIN HARRISON
BIRMINGHAM, AL
NPI
1104279892
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1-126349)
Enumeration Date
2016-07-18
Last Update Date
2016-07-18
Business Address
Mr. JUSTIN HARRISON CRNA
810 SAINT VINCENTS DR
BIRMINGHAM, AL 35205-1601
Phone number: 205-939-7143
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Mailing Address
Mr. JUSTIN HARRISON CRNA
PO BOX 55309
BIRMINGHAM, AL 35255-5309
Phone number:
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