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1699107862
ALEXANDER JOHNATHAN MIKOLASCHEK
DECATUR, AL
NPI
1699107862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: AL 1-107266)
Enumeration Date
2013-07-30
Last Update Date
2013-07-30
Business Address
-- ALEXANDER JOHNATHAN MIKOLASCHEK CRNP
1201 7TH ST SE
DECATUR, AL 35601-3337
Phone number: 256-351-0688
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Mailing Address
-- ALEXANDER JOHNATHAN MIKOLASCHEK CRNP
310 ACORN GROVE LN SW
HUNTSVILLE, AL 35824-3501
Phone number:
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