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1124317359
IAN LADD BURGE
BIRMINGHAM, AL
NPI
1124317359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-094401)
Enumeration Date
2011-03-28
Last Update Date
2021-09-23
Business Address
IAN LADD BURGE Nurse Practitioner
420 20TH ST N STE 2200
BIRMINGHAM, AL 35203-3261
Phone number: 866-949-0108
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Mailing Address
IAN LADD BURGE Nurse Practitioner
40 S MAIN ST STE 1300
MEMPHIS, TN 38103-5513
Phone number: 866-949-0108
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