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1316360084
TINA SUDDUTH
TUSCALOOSA, AL
NPI
1316360084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-046361)
Enumeration Date
2014-01-30
Last Update Date
2014-01-30
Business Address
-- TINA SUDDUTH
809 UNIVERSITY BLVD E
TUSCALOOSA, AL 35401-2029
Phone number: 205-759-7803
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Mailing Address
-- TINA SUDDUTH
12775 FRANK LARY RD
NORTHPORT, AL 35475-4713
Phone number: 205-339-6187
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