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1346270675
JACQUELINE E. GRAVELLE
BIRMINGHAM, AL
NPI
1346270675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1-097063)
Enumeration Date
2006-07-03
Last Update Date
2012-02-01
Business Address
-- JACQUELINE E. GRAVELLE CRNA
2010 BROOKWOOD MEDICAL CTR DR
BIRMINGHAM, AL 35209-6804
Phone number: 205-989-1080
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Mailing Address
-- JACQUELINE E. GRAVELLE CRNA
2151 OLD ROCKY RIDGE RD SUITE 106
BIRMINGHAM, AL 35216-7235
Phone number: 205-989-1080
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