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1326762360
RAYMOND CRUZ TIDWELL
TUSCALOOSA, AL
NPI
1326762360
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1835P1300X Pharmacist, Psychiatric
(Licence: AL 21918)
Enumeration Date
2022-10-03
Last Update Date
2022-10-03
Business Address
RAYMOND CRUZ TIDWELL
3701 LOOP RD
TUSCALOOSA, AL 35404-5015
Phone number: 205-544-2000
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Mailing Address
RAYMOND CRUZ TIDWELL
116 MCDONALD RD
JASPER, AL 35501-9300
Phone number: 205-544-6694
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