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1154082758
ETHAN CALEB BONDS
BOAZ, AL
NPI
1154082758
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL F12210635)
Enumeration Date
2022-01-05
Last Update Date
2022-01-12
Business Address
ETHAN CALEB BONDS CRNP
2986 US HIGHWAY 431
BOAZ, AL 35957-5848
Phone number: 256-840-8181
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Mailing Address
ETHAN CALEB BONDS CRNP
308 MOUNTAIN DR
GADSDEN, AL 35904-3238
Phone number: 256-506-7814
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