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1174781025
SAMUEL GLENN BORAK
BIRMINGHAM, AL
NPI
1174781025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0101X Pathology, Anatomic Pathology
(Licence: AL 29875)
Enumeration Date
2008-05-28
Last Update Date
2016-10-18
Business Address
-- SAMUEL GLENN BORAK M.D.
619 19TH ST S
BIRMINGHAM, AL 35249-1900
Phone number: 205-934-4794
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Mailing Address
-- SAMUEL GLENN BORAK M.D.
619 19TH ST S
BIRMINGHAM, AL 35249-1900
Phone number:
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