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1538780341
IGOR DAMASCENO VIDAL
BIRMINGHAM, AL
NPI
1538780341
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-05-04
Last Update Date
2020-05-04
Business Address
IGOR DAMASCENO VIDAL MD
625 19TH ST S
BIRMINGHAM, AL 35233-1900
Phone number: 205-975-7548
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Mailing Address
IGOR DAMASCENO VIDAL MD
625 19TH ST S
BIRMINGHAM, AL 35233-1900
Phone number: 205-975-7548
Copy
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