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1811450158
RUSS MICHAEL GUIDRY
BIRMINGHAM, AL
NPI
1811450158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-04-12
Last Update Date
2020-06-11
Business Address
RUSS MICHAEL GUIDRY
619 19TH STREET SOUT
BIRMINGHAM, AL 35249-0001
Phone number: 205-934-7120
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Mailing Address
RUSS MICHAEL GUIDRY
619 19TH STREET SOUT
BIRMINGHAM, AL 35249-0001
Phone number: 205-934-7120
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