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1457890410
ELLEN PANTAZIS
BIRMINGHAM, AL
NPI
1457890410
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: AL 1-130868)
Enumeration Date
2017-02-22
Last Update Date
2023-06-29
Business Address
ELLEN PANTAZIS
1250 INVERNESS CORNERS
BIRMINGHAM, AL 35242-3794
Phone number: 205-980-0035
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Mailing Address
ELLEN PANTAZIS
PO BOX 55310
BIRMINGHAM, AL 35255-5310
Phone number:
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