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1598285819
JUSTIN WAYNE SISK
TUSCALOOSA, AL
NPI
1598285819
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-127220)
Enumeration Date
2017-06-27
Last Update Date
2017-07-25
Business Address
Mr. JUSTIN WAYNE SISK NP-C
701 UNIVERSITY BLVD E STE 400
TUSCALOOSA, AL 35401-7428
Phone number: 205-752-0694
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Mailing Address
Mr. JUSTIN WAYNE SISK NP-C
701 UNIVERSITY BLVD E STE 400
TUSCALOOSA, AL 35401-7428
Phone number: 205-826-1788
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