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1578940235
PATRICK GREGORY TATUM
FORT PAYNE, AL
NPI
1578940235
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AL 1-136879)
Enumeration Date
2015-05-01
Last Update Date
2015-05-06
Business Address
-- PATRICK GREGORY TATUM CRNP
211 GREENHILL BLVD NW
FORT PAYNE, AL 35967-3755
Phone number: 256-845-9355
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Mailing Address
-- PATRICK GREGORY TATUM CRNP
211 GREENHILL BLVD NW
FORT PAYNE, AL 35967-3755
Phone number: 256-717-9596
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