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1588921803
MOLLEEN KOFMAN DESAI
VESTAVIA, AL
NPI
1588921803
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: AL 1-061433)
Enumeration Date
2012-04-12
Last Update Date
2012-04-12
Business Address
MOLLEEN KOFMAN DESAI CRNP
2200 MOUNTAIN VIEW DR
VESTAVIA, AL 35216-2026
Phone number: 205-401-8683
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Mailing Address
MOLLEEN KOFMAN DESAI CRNP
2200 MOUNTAIN VIEW DR
VESTAVIA, AL 35216-2026
Phone number: 205-401-8683
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