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1770013260
ARCHANA GAUTAM
BIRMINGHAM, AL
NPI
1770013260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-06-15
Last Update Date
2017-06-15
Business Address
ARCHANA GAUTAM MD
625 19TH ST S
BIRMINGHAM, AL 35233-1900
Phone number: 334-551-2002
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Mailing Address
ARCHANA GAUTAM MD
625 19TH ST S
BIRMINGHAM, AL 35233-1900
Phone number:
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