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1528500907
CRYSTAL THREADGILL
MOBILE, AL
NPI
1528500907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AL 1-072567)
Enumeration Date
2016-11-16
Last Update Date
2019-08-16
Business Address
CRYSTAL THREADGILL
3737 GOVERNMENT BLVD STE 203
MOBILE, AL 36693-4310
Phone number: 251-300-7134
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Mailing Address
CRYSTAL THREADGILL
3737 GOVERNMENT BLVD STE 203
MOBILE, AL 36693-4310
Phone number: 251-300-7134
Copy
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