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1366654493
DIEGO DE IDIAQUEZ BAKULA
BIRMINGHAM, AL
NPI
1366654493
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RH0003X Internal Medicine Hematology & Oncology
(Licence: AL 26146)
Enumeration Date
2007-05-03
Last Update Date
2023-06-29
Business Address
DIEGO DE IDIAQUEZ BAKULA
619 19TH ST S
BIRMINGHAM, AL 35233-1900
Phone number: 205-934-4011
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Mailing Address
DIEGO DE IDIAQUEZ BAKULA
619 19TH ST S
BIRMINGHAM, AL 35233-1900
Phone number:
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