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1184389868
ALEXANDRA NICOLE DE LA O
MOBILE, AL
NPI
1184389868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AL 1885)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2021-11-08
Last Update Date
2022-01-03
Business Address
ALEXANDRA NICOLE DE LA O PA-C
1700 CENTER ST
MOBILE, AL 36604-3301
Phone number: 251-415-1000
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Mailing Address
ALEXANDRA NICOLE DE LA O PA-C
PO BOX 746450
ATLANTA, GA 30374-6450
Phone number: 251-434-3626
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