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1245054733
TIA LA'SHEY STURDIVANT
MONTGOMERY, AL
NPI
1245054733
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-149855)
Enumeration Date
2024-11-11
Last Update Date
2024-11-11
Business Address
TIA LA'SHEY STURDIVANT CRNP
1725 PINE ST
MONTGOMERY, AL 36106-1117
Phone number: 334-293-8000
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Mailing Address
TIA LA'SHEY STURDIVANT CRNP
403 COUNTY ROAD 819
SELMA, AL 36701-1901
Phone number:
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