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1386191112
PAMELA DEAN REAVES JACKSON
ANNISTON, AL
NPI
1386191112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: AL 1-054775)
Enumeration Date
2016-09-09
Last Update Date
2016-09-09
Business Address
Mrs. PAMELA DEAN REAVES JACKSON CRNP
1131 LEIGHTON AVE
ANNISTON, AL 36207-4610
Phone number: 256-237-0025
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Mailing Address
Mrs. PAMELA DEAN REAVES JACKSON CRNP
1131 LEIGHTON AVE
ANNISTON, AL 36207-4610
Phone number: 256-237-0025
Copy
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