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1790104677
JONATHAN HANNAH
BOAZ, AL
NPI
1790104677
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-113457)
Enumeration Date
2014-04-08
Last Update Date
2014-04-08
Business Address
-- JONATHAN HANNAH CRNP
2505 US HWY 431
BOAZ, AL 35957
Phone number: 256-593-8310
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Mailing Address
-- JONATHAN HANNAH CRNP
328 BOHANNON RD
BOAZ, AL 35957
Phone number: 205-363-0002
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