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1619554755
ERNESTINE B TAKANG
MONTGOMERY, AL
NPI
1619554755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-127424)
Enumeration Date
2021-03-25
Last Update Date
2021-03-25
Business Address
ERNESTINE B TAKANG CRNP
1758 PARK PL STE 401
MONTGOMERY, AL 36106-1135
Phone number: 334-264-9191
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Mailing Address
ERNESTINE B TAKANG CRNP
1722 PINE ST STE 203
MONTGOMERY, AL 36106-1158
Phone number: 334-293-8736
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