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1255980439
MADELINE EIDSON
DOTHAN, AL
NPI
1255980439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AL 1-149795)
Enumeration Date
2019-09-10
Last Update Date
2019-09-10
Business Address
MADELINE EIDSON CRNP
4370 W MAIN ST
DOTHAN, AL 36305-4000
Phone number: 334-793-5000
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Mailing Address
MADELINE EIDSON CRNP
124 FRANKFORT DR
DOTHAN, AL 36305-4307
Phone number: 334-714-4527
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