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1609837400
TIMOTHY MARVIN WOODALL
DOTHAN, AL
NPI
1609837400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1037973)
Enumeration Date
2006-03-31
Last Update Date
2007-07-08
Business Address
TIMOTHY MARVIN WOODALL CRNA
4370 W MAIN ST
DOTHAN, AL 36305
Phone number: 334-793-5000
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Mailing Address
TIMOTHY MARVIN WOODALL CRNA
PO BOX 6907
DOTHAN, AL 36302
Phone number: 334-793-5000
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