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1376978262
TONYA M ROACH
MOBILE, AL
NPI
1376978262
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Former Name
TONAY M TUCKER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-106985)
Enumeration Date
2013-09-10
Last Update Date
2013-09-10
Business Address
-- TONYA M ROACH CRNP
251 N BAYOU ST
MOBILE, AL 36603-5827
Phone number: 251-690-8158
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Mailing Address
-- TONYA M ROACH CRNP
251 N BAYOU ST
MOBILE, AL 36603-5827
Phone number: 251-690-8158
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