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1376097113
TODD K PRIDMORE
MADISON, AL
NPI
1376097113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: AL 1-136010)
Enumeration Date
2016-08-10
Last Update Date
2024-05-30
Business Address
TODD K PRIDMORE CRNP
8371 HIGHWAY 72 W STE 204
MADISON, AL 35758-9505
Phone number: 256-801-5977
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Mailing Address
TODD K PRIDMORE CRNP
PO BOX 21007
HUNTSVILLE, AL 35813-5007
Phone number: 256-801-6056
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