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1770927444
LEON ERNEST GLENN
BIRMINGHAM, AL
NPI
1770927444
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-105075)
Enumeration Date
2013-04-24
Last Update Date
2013-04-24
Business Address
Mr. LEON ERNEST GLENN CRNP
619 19TH ST S
BIRMINGHAM, AL 35233-1900
Phone number: 205-975-0526
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Mailing Address
Mr. LEON ERNEST GLENN CRNP
619 19TH ST S
BIRMINGHAM, AL 35233-1900
Phone number:
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