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1275385270
RAVEN ALISE OMAR
BIRMINGHAM, AL
NPI
1275385270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2024-04-03
Last Update Date
2024-04-03
Business Address
RAVEN ALISE OMAR PA-C
48 MEDICAL PARK DR E STE 458
BIRMINGHAM, AL 35235-3473
Phone number: 205-838-1811
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Mailing Address
RAVEN ALISE OMAR PA-C
7637 WIND GAP LN
PINSON, AL 35126-4001
Phone number: 205-901-8255
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