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1750961447
LISA MARIE ALLSUP
MOBILE, AL
NPI
1750961447
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-058302)
Enumeration Date
2021-04-08
Last Update Date
2024-07-20
Business Address
LISA MARIE ALLSUP CRNP
4444 DEMETROPOLIS RD
MOBILE, AL 36619-9602
Phone number: 251-219-3900
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Mailing Address
LISA MARIE ALLSUP CRNP
1054 CHALET DR W
MOBILE, AL 36608-3613
Phone number: 251-510-2641
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