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1275388746
LEANNA GRACE CLARK
BIRMINGHAM, AL
NPI
1275388746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AL 1-183307)
Enumeration Date
2024-04-18
Last Update Date
2024-04-18
Business Address
LEANNA GRACE CLARK
1600 7TH AVE S
BIRMINGHAM, AL 35233-1711
Phone number: 205-638-9100
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Mailing Address
LEANNA GRACE CLARK
104 RATHDOON CT
MADISON, AL 35757-7646
Phone number: 256-698-1573
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