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1275875585
HOLLY J CLUCK
MONTGOMERY, AL
NPI
1275875585
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: AL 1-106380)
Enumeration Date
2013-03-25
Last Update Date
2023-01-06
Business Address
Mrs. HOLLY J CLUCK CRNP
2065 E SOUTH BLVD SUITE 201
MONTGOMERY, AL 36116-2458
Phone number: 334-747-7250
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Mailing Address
Mrs. HOLLY J CLUCK CRNP
301 BROWN SPRINGS RD
MONTGOMERY, AL 36117-7005
Phone number: 334-747-4159
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