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1619339512
JENNIFER BOGAN
BIRMINGHAM, AL
NPI
1619339512
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: AL 1-145341)
Enumeration Date
2016-03-22
Last Update Date
2016-03-22
Business Address
-- JENNIFER BOGAN CRNP
1201 11TH AVE S
BIRMINGHAM, AL 35205-3423
Phone number: 205-930-7100
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Mailing Address
-- JENNIFER BOGAN CRNP
PO BOX 55310
BIRMINGHAM, AL 35255-5310
Phone number: 205-731-9701
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