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1821161696
TATJANA LARISSA ACKER
HUNTSVILLE, AL
NPI
1821161696
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AL PA.501)
Enumeration Date
2006-11-17
Last Update Date
2017-01-16
Business Address
Mrs. TATJANA LARISSA ACKER PA
9000 BAILEY COVE RD SE
HUNTSVILLE, AL 35802-4002
Phone number: 256-428-4900
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Mailing Address
Mrs. TATJANA LARISSA ACKER PA
PO BOX 2705
HUNTSVILLE, AL 35804-2705
Phone number: 256-801-6048
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