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1679249155
ALEXIS BERTOLLA
MOBILE, AL
NPI
1679249155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: AL 1-166074)
Enumeration Date
2021-08-17
Last Update Date
2024-02-16
Business Address
ALEXIS BERTOLLA
1700 CENTER ST
MOBILE, AL 36604-3301
Phone number: 251-415-1000
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Mailing Address
ALEXIS BERTOLLA
PO BOX 746450
ATLANTA, GA 30374-6450
Phone number: 866-401-3057
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