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1235151424
LUIS O VASCONEZ
BIRMINGHAM, AL
NPI
1235151424
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: AL 12399)
Enumeration Date
2006-07-24
Last Update Date
2011-05-28
Business Address
-- LUIS O VASCONEZ MD
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Phone number: 205-934-4011
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Mailing Address
-- LUIS O VASCONEZ MD
PO BOX 55310
BIRMINGHAM, AL 35255-5310
Phone number: 205-731-9701
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