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1174079602
TARA JOHNSON
BIRMINGHAM, AL
NPI
1174079602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-105506)
Enumeration Date
2016-08-25
Last Update Date
2016-08-25
Business Address
-- TARA JOHNSON
241 VARDEN HILL DR
BIRMINGHAM, AL 35214-1945
Phone number: 205-281-5437
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Mailing Address
-- TARA JOHNSON
241 VARDEN HILL DR
BIRMINGHAM, AL 35214-1945
Phone number: 205-281-5437
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