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1326545575
STACEE BYRD BERTOLLA
MOBILE, AL
NPI
1326545575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: AL 1-063545)
Enumeration Date
2018-04-12
Last Update Date
2018-04-12
Business Address
STACEE BYRD BERTOLLA CRNP
1700 CENTER ST
MOBILE, AL 36604-3301
Phone number: 251-415-1144
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Mailing Address
STACEE BYRD BERTOLLA CRNP
16513 COUNTY ROAD 68
LOXLEY, AL 36551-3219
Phone number: 251-228-0080
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