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1124429584
LATISHA SANDEFUR
HUNTSVILLE, AL
NPI
1124429584
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AL 2-057058)
Enumeration Date
2014-09-04
Last Update Date
2014-09-04
Business Address
LATISHA SANDEFUR LPN
4040 MEMORIAL PKWY SW
HUNTSVILLE, AL 35802-4364
Phone number: 256-217-9958
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Mailing Address
LATISHA SANDEFUR LPN
4040 MEMORIAL PKWY SW
HUNTSVILLE, AL 35802-4364
Phone number: 256-217-9958
Copy
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