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1528473121
JASON STACEY
BIRMINGHAM, AL
NPI
1528473121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1-124967)
Enumeration Date
2014-06-23
Last Update Date
2014-06-23
Business Address
-- JASON STACEY
701 PRINCETON AVE SW
BIRMINGHAM, AL 35211-1303
Phone number: 205-783-3144
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Mailing Address
-- JASON STACEY
PO BOX 235022
MONTGOMERY, AL 36123-5022
Phone number:
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