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1164850954
LISA ELLISON
PELL CITY, AL
NPI
1164850954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-063430)
Enumeration Date
2013-10-15
Last Update Date
2013-10-15
Business Address
-- LISA ELLISON CRNP
70 PLAZA DR
PELL CITY, AL 35125-9314
Phone number: 205-814-9284
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Mailing Address
-- LISA ELLISON CRNP
70 PLAZA DR
PELL CITY, AL 35125-9314
Phone number: 205-814-9284
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