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1437114741
FRED BRACKETT
MOBILE, AL
NPI
1437114741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1-031202)
Enumeration Date
2006-04-19
Last Update Date
2007-07-08
Business Address
-- FRED BRACKETT CRNA
2451 FILLINGIM ST
MOBILE, AL 36617-2238
Phone number: 251-471-7177
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Mailing Address
-- FRED BRACKETT CRNA
8255 BRACKETT LN
SEMMES, AL 36575-4550
Phone number: 251-649-4414
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