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1336888031
KEITHA HALLMARK MITCHELL
MADISON, AL
NPI
1336888031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-151423)
Enumeration Date
2022-06-01
Last Update Date
2022-06-01
Business Address
KEITHA HALLMARK MITCHELL CRNP
600 SUN TEMPLE DR
MADISON, AL 35758-8643
Phone number: 256-975-4291
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Mailing Address
KEITHA HALLMARK MITCHELL CRNP
600 SUN TEMPLE DR
MADISON, AL 35758-8643
Phone number: 256-975-4291
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