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1366781312
GRANT A TATE
HUNTSVILLE, AL
NPI
1366781312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1-117862)
Enumeration Date
2013-02-12
Last Update Date
2013-02-12
Business Address
-- GRANT A TATE CRNA
245 GOVERNORS DR SE
HUNTSVILLE, AL 35801-2700
Phone number: 256-265-8120
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Mailing Address
-- GRANT A TATE CRNA
PO BOX 1389
HUNTSVILLE, AL 35807-0389
Phone number: 205-979-5882
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