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1457579831
TIMOTHY M. CLARK
BIRMINGHAM, AL
NPI
1457579831
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1-083920)
Enumeration Date
2007-04-23
Last Update Date
2013-12-05
Business Address
-- TIMOTHY M. CLARK CRNA
800 MONTCLAIR RD
BIRMINGHAM, AL 35213-1908
Phone number: 205-592-1785
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Mailing Address
-- TIMOTHY M. CLARK CRNA
PO BOX 235022
MONTGOMERY, AL 36123-5022
Phone number: 334-386-2051
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