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1720184781
GWEN BONITA MALONE
TUSCALOOSA, AL
NPI
1720184781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AL 1044329)
Enumeration Date
2006-09-16
Last Update Date
2007-07-08
Business Address
GWEN BONITA MALONE CRNP
200 UNIVERSITY BLVD
TUSCALOOSA, AL 35402-0707
Phone number: 205-759-0633
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Mailing Address
GWEN BONITA MALONE CRNP
PO BOX 21231 200 UNIVERSITY BLVD
TUSCALOOSA, AL 35402-0707
Phone number: 205-759-0633
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