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1275096844
ALAN LEE TISDAL
NORTHPORT, AL
NPI
1275096844
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AL PHT3143)
Enumeration Date
2019-04-10
Last Update Date
2019-04-10
Business Address
ALAN LEE TISDAL PT
400 MCFARLAND BLVD STE F
NORTHPORT, AL 35476-3371
Phone number: 205-333-5351
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Mailing Address
ALAN LEE TISDAL PT
400 MCFARLAND BLVD STE F
NORTHPORT, AL 35476-3371
Phone number: 205-333-5351
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