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1306012133
BEVERLY KAREN KETCHUM
HUNTSVILLE, AL
NPI
1306012133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-029612)
Enumeration Date
2008-05-01
Last Update Date
2008-05-01
Business Address
Ms. BEVERLY KAREN KETCHUM CRNP
1110 MERIDIAN ST N
HUNTSVILLE, AL 35801-4636
Phone number: 256-428-7276
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Mailing Address
Ms. BEVERLY KAREN KETCHUM CRNP
1110 MERIDIAN ST N
HUNTSVILLE, AL 35801-4636
Phone number: 256-428-7276
Copy
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