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1336913359
ELORA GAMBRYN LUCAS
BIRMINGHAM, AL
NPI
1336913359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AL PTH11614)
Enumeration Date
2023-11-09
Last Update Date
2023-11-09
Business Address
ELORA GAMBRYN LUCAS
1717 6TH AVE S
BIRMINGHAM, AL 35233-1801
Phone number: 205-934-4131
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Mailing Address
ELORA GAMBRYN LUCAS
400 BIRCHALL LN APT 205
HOOVER, AL 35226-6423
Phone number:
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