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1104807577
DARRELL C HERNDON
BIRMINGHAM, AL
NPI
1104807577
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1-040120)
Enumeration Date
2005-11-10
Last Update Date
2010-07-02
Business Address
Mr. DARRELL C HERNDON CRNA
1201 11TH AVE S
BIRMINGHAM, AL 35205-3423
Phone number: 205-930-7296
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Mailing Address
Mr. DARRELL C HERNDON CRNA
PO BOX 55905
BIRMINGHAM, AL 35255-5905
Phone number: 205-979-5882
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