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1245905439
ETHAN ANSON SIMMONS
BIRMINGHAM, AL
NPI
1245905439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AL 1-169697)
Enumeration Date
2021-08-10
Last Update Date
2023-07-10
Business Address
Mr. ETHAN ANSON SIMMONS CRNA
800 LAKESHORE DR
BIRMINGHAM, AL 35229-0001
Phone number: 205-726-2401
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Mailing Address
Mr. ETHAN ANSON SIMMONS CRNA
404 PEBBLE CREEK DR
GARDENDALE, AL 35071-2780
Phone number: 205-542-6373
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