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1164971404
JUSTIN CHASE FORD
GADSDEN, AL
NPI
1164971404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: AL 1-136145)
Enumeration Date
2016-09-28
Last Update Date
2016-11-03
Business Address
-- JUSTIN CHASE FORD CRNP
300 MEDICAL CENTER DR STE 303
GADSDEN, AL 35903-1136
Phone number: 256-458-0899
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Mailing Address
-- JUSTIN CHASE FORD CRNP
300 MEDICAL CENTER DR STE 303
GADSDEN, AL 35903-1136
Phone number: 256-458-0899
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