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1629534656
MASON ALEXANDER WADE
MOBILE, AL
NPI
1629534656
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-151000)
Enumeration Date
2019-02-14
Last Update Date
2019-03-25
Business Address
Mr. MASON ALEXANDER WADE CRNP
251 N BAYOU ST
MOBILE, AL 36603-5827
Phone number: 251-690-8158
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Mailing Address
Mr. MASON ALEXANDER WADE CRNP
251 N BAYOU ST
MOBILE, AL 36603-5827
Phone number:
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