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1336408830
MISHANTA REYES
DECATUR, AL
NPI
1336408830
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: AL 1800)
Enumeration Date
2012-05-04
Last Update Date
2019-04-10
Business Address
MISHANTA REYES D.O.
1215 7TH ST SE FL 2
DECATUR, AL 35601
Phone number: 256-973-5216
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Mailing Address
MISHANTA REYES D.O.
401 LOWELL DR SE STE 1
HUNTSVILLE, AL 35801-3738
Phone number: 256-265-4462
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