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1578609947
MICAH MARIE ALLISON
MOBILE, AL
NPI
1578609947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL 916)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
Mrs. MICAH MARIE ALLISON ATC, LAT
6904 PROVIDENCE PARK DR S
MOBILE, AL 36695-4600
Phone number: 251-639-2096
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Mailing Address
Mrs. MICAH MARIE ALLISON ATC, LAT
7045 WILLIAMSBURG CT
IRVINGTON, AL 36544-3659
Phone number: 251-957-0205
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