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1760890198
MIA GENTLE
PRATTVILLE, AL
NPI
1760890198
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-077078)
Enumeration Date
2014-07-29
Last Update Date
2014-07-29
Business Address
Mrs. MIA GENTLE NP-C
645 MCQUEEN SMITH RD N
PRATTVILLE, AL 36066-7268
Phone number: 334-361-2121
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Mailing Address
Mrs. MIA GENTLE NP-C
1365 OLD PARK ROW
MONTGOMERY, AL 36117-4395
Phone number: 334-451-1146
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