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1134714215
LISA PUGH
BIRMINGHAM, AL
NPI
1134714215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AL 2-066317)
Enumeration Date
2021-03-01
Last Update Date
2021-03-01
Business Address
LISA PUGH LPN, MAS
508 FORESTWOOD DR
BIRMINGHAM, AL 35214-3106
Phone number: 205-851-0028
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Mailing Address
LISA PUGH LPN, MAS
1450 FORESTDALE BLVD # 311464
BIRMINGHAM, AL 35214-3024
Phone number: 205-851-0028
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