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1255539904
CROWELL ANTHONY LISENBY
MONTGOMERY, AL
NPI
1255539904
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Professional Name
TONY LISENBY
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AL 1-044909)
Enumeration Date
2007-07-04
Last Update Date
2007-07-08
Business Address
Mr. CROWELL ANTHONY LISENBY
101 COLISEUM BLVD
MONTGOMERY, AL 36109-2707
Phone number: 334-279-7830
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Mailing Address
Mr. CROWELL ANTHONY LISENBY
3464 S WATER MILL RD
MONTGOMERY, AL 36116-1935
Phone number: 334-277-7617
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