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1710920970
LARRY W DEAN
BIRMINGHAM, AL
NPI
1710920970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: AL 1-040511)
Enumeration Date
2006-06-14
Last Update Date
2011-05-20
Business Address
-- LARRY W DEAN CRNP
619 19TH STREET SOUTH
BIRMINGHAM, AL 35233
Phone number: 205-934-4011
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Mailing Address
-- LARRY W DEAN CRNP
PO BOX 55310
BIRMINGHAM, AL 35255-5310
Phone number: 205-731-9701
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