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1285666172
LISA MARIE GHAVAM
HUNTSVILLE, AL
NPI
1285666172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1-067541)
Enumeration Date
2006-07-07
Last Update Date
2013-01-16
Business Address
-- LISA MARIE GHAVAM CRNA
911 BIG COVE RD SE
HUNTSVILLE, AL 35801-3750
Phone number: 256-265-8120
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Mailing Address
-- LISA MARIE GHAVAM CRNA
PO BOX 1389
HUNTSVILLE, AL 35807-0389
Phone number: 256-265-8120
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