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1194478297
MOLLY LYNN KNICKERBOCKER
HUNTSVILLE, AL
NPI
1194478297
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: AL 1-144954)
Enumeration Date
2022-01-28
Last Update Date
2022-01-28
Business Address
MRS. MOLLY LYNN KNICKERBOCKER CRNP
1860 SHELLBROOK DR NW
HUNTSVILLE, AL 35806-3414
Phone number: 256-541-3868
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Mailing Address
MRS. MOLLY LYNN KNICKERBOCKER CRNP
1860 SHELLBROOK DR NW
HUNTSVILLE, AL 35806-3414
Phone number: 256-541-3868
Copy
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