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1104362177
PHILLIP TYLER STANLEY
DOTHAN, AL
NPI
1104362177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1-126879)
Enumeration Date
2017-01-13
Last Update Date
2017-01-13
Business Address
Mr. PHILLIP TYLER STANLEY C.R.N.A.
1118 ROSS CLARK CIR
DOTHAN, AL 36301-3001
Phone number: 334-793-8111
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Mailing Address
Mr. PHILLIP TYLER STANLEY C.R.N.A.
1600 KEATING RD
DOTHAN, AL 36303-2702
Phone number: 334-701-8240
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