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1386360337
DEIDRE RIVERS
MOBILE, AL
NPI
1386360337
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-114987)
Enumeration Date
2022-10-12
Last Update Date
2022-10-12
Business Address
DEIDRE RIVERS
1700 CENTER ST
MOBILE, AL 36604-3301
Phone number: 251-415-1055
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Mailing Address
DEIDRE RIVERS
PO BOX 746450
ATLANTA, GA 30374-6450
Phone number: 866-401-3057
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