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1275177040
MUNIRA R PORBANDERWALA
PELHAM, AL
NPI
1275177040
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AL 1-149523)
Enumeration Date
2019-11-04
Last Update Date
2019-11-04
Business Address
MUNIRA R PORBANDERWALA
333 BUSINESS CIR
PELHAM, AL 35124-1778
Phone number: 205-255-3828
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Mailing Address
MUNIRA R PORBANDERWALA
333 BUSINESS CIR
PELHAM, AL 35124-1778
Phone number:
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