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1790367316
BRIAN ELLISON
BIRMINGHAM, AL
NPI
1790367316
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AL 1-169034)
Enumeration Date
2021-04-23
Last Update Date
2021-04-23
Business Address
BRIAN ELLISON
1802 6TH AVE S
BIRMINGHAM, AL 35233-1932
Phone number: 205-934-9999
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Mailing Address
BRIAN ELLISON
1802 6TH AVE S
BIRMINGHAM, AL 35233-1932
Phone number: 205-934-9999
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