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1578923520
DOROTHEA BRADY HARRIS
PHENIX CITY, AL
NPI
1578923520
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Former Name
DOROTHEA BRADY HOLT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AL 1-137711)
Enumeration Date
2016-03-03
Last Update Date
2016-03-03
Business Address
DOROTHEA BRADY HARRIS CRNP
1720 KNOWLES RD
PHENIX CITY, AL 36869-7135
Phone number: 314-317-0600
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Mailing Address
DOROTHEA BRADY HARRIS CRNP
12101 WOODCREST EXECUTIVE DR STE 210
SAINT LOUIS, MO 63141-5047
Phone number: 314-317-0600
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