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1316928054
LANE S KANNEGIETER
MOBILE, AL
NPI
1316928054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: AL 22125)
Enumeration Date
2005-11-09
Last Update Date
2010-09-07
Business Address
-- LANE S KANNEGIETER MD
5 MOBILE INFIRMARY CIR
MOBILE, AL 36607-3513
Phone number: 251-544-1926
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Mailing Address
-- LANE S KANNEGIETER MD
PO BOX 9369
MOBILE, AL 36691-0369
Phone number: 251-544-1926
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