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1548584212
STEPHANIE L WYATT
BIRMINGHAM, AL
NPI
1548584212
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1-108167)
Enumeration Date
2010-03-24
Last Update Date
2010-03-24
Business Address
Mrs. STEPHANIE L WYATT CRNA
1919 OXMOOR RD SUITE 111
BIRMINGHAM, AL 35209-3502
Phone number: 800-242-1131
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Mailing Address
Mrs. STEPHANIE L WYATT CRNA
255 W MICHIGAN AVE
JACKSON, MI 49201-2218
Phone number: 800-516-5315
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