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1154438802
BRENT ALAN TIDWELL
TUSCALOOSA, AL
NPI
1154438802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: AL 1802)
Enumeration Date
2006-08-25
Last Update Date
2015-07-08
Business Address
Dr. BRENT ALAN TIDWELL D.C.
819 MIMOSA PARK RD
TUSCALOOSA, AL 35405-4839
Phone number: 205-752-7503
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Mailing Address
Dr. BRENT ALAN TIDWELL D.C.
819 MIMOSA PARK ROAD
TUSCALOOSA, AL 35405-3964
Phone number: 205-752-7503
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