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1699128009
RIVER REGION DERMATOLOGY AND LASER INC
MONTGOMERY, AL
NPI
1699128009
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Entity Type
Organization
Authorized Contact
PORCIA LOVE
Sole Member Owner
334-416-8996
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2016-07-20
Last Update Date
2016-07-28
Business Address
RIVER REGION DERMATOLOGY AND LASER INC
2060 BERRYHILL RD
MONTGOMERY, AL 36117-8965
Phone number: 334-416-8996
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Mailing Address
RIVER REGION DERMATOLOGY AND LASER INC
1254 LAUREL BROOK LN
MONTGOMERY, AL 36117-8965
Phone number: 334-416-8996
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