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1770836462
TONYA MICHELLE LISENBA
BIRMINGHAM, AL
NPI
1770836462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0222X Nurse Practitioner, Pediatrics, Critical Care
(Licence: AL 1-059039)
Enumeration Date
2012-10-18
Last Update Date
2012-10-18
Business Address
Mrs. TONYA MICHELLE LISENBA NP
1600 7TH AVE S
BIRMINGHAM, AL 35233-1711
Phone number: 205-638-3852
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Mailing Address
Mrs. TONYA MICHELLE LISENBA NP
1600 7TH AVE S
BIRMINGHAM, AL 35233-1711
Phone number: 205-638-3852
Copy
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