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1598310740
MARY JANE SMITH
MOBILE, AL
NPI
1598310740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: AL 1-112783)
Enumeration Date
2019-08-05
Last Update Date
2021-10-27
Business Address
Mrs. MARY JANE SMITH CRNP
3750 PROFESSIONAL PKWY
MOBILE, AL 36609-5407
Phone number: 251-460-0999
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Mailing Address
Mrs. MARY JANE SMITH CRNP
29653 ANCHOR CROSS BLVD
DAPHNE, AL 36526-9594
Phone number: 251-625-6896
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