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1275633893
GORDON R BLAIR
CULLMAN, AL
NPI
1275633893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: AL 1046758)
Enumeration Date
2006-09-24
Last Update Date
2008-04-18
Business Address
GORDON R BLAIR CRNP
1701 MAIN AVE SW SUITE A
CULLMAN, AL 35055-5299
Phone number: 256-737-0880
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Mailing Address
GORDON R BLAIR CRNP
PO BOX 870
CULLMAN, AL 35056-0870
Phone number:
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