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1275779480
MARVIN MITCH SHELTON
TUSCALOOSA, AL
NPI
1275779480
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AL 1-043069)
Enumeration Date
2008-12-18
Last Update Date
2008-12-23
Business Address
-- MARVIN MITCH SHELTON CRNP
3701 LOOP RD BLDG 39
TUSCALOOSA, AL 35404-5015
Phone number: 205-562-3700
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Mailing Address
-- MARVIN MITCH SHELTON CRNP
PO BOX 2190
TUSCALOOSA, AL 35403-2190
Phone number: 205-562-3700
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