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1245629997
BRENDAN SANSOM
BIRMINGHAM, AL
NPI
1245629997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1-127296)
Enumeration Date
2015-01-19
Last Update Date
2015-01-19
Business Address
Mr. BRENDAN SANSOM CRNA
619 19TH ST S ROOM-JT845
BIRMINGHAM, AL 35249-1900
Phone number: 205-979-5882
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Mailing Address
Mr. BRENDAN SANSOM CRNA
PO BOX 11407 ATTN: DEPT 1717
BIRMINGHAM, AL 35246-0100
Phone number: 205-979-5882
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