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1740900711
ELIZABETH GRACE STORIE
TUSCALOOSA, AL
NPI
1740900711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207PS0010X Emergency Medicine, Sports Medicine
(Licence: AL 2847)
Enumeration Date
2022-08-31
Last Update Date
2024-02-21
Business Address
ELIZABETH GRACE STORIE LAT, ATC
2901 NORTHRIDGE RD
TUSCALOOSA, AL 35406-3665
Phone number: 205-886-3832
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Mailing Address
ELIZABETH GRACE STORIE LAT, ATC
12458 TIMBERLANE RD
RALPH, AL 35480-9103
Phone number: 205-886-3832
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