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1821364431
RICKY TIERNAN
BIRMINGHAM, AL
NPI
1821364431
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AL 2-063720)
Enumeration Date
2012-03-28
Last Update Date
2012-03-28
Business Address
-- RICKY TIERNAN
700 SOUTH 19TH STREET (05-JA)
BIRMINGHAM, AL 35233
Phone number: 205-933-8101
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Mailing Address
-- RICKY TIERNAN
5201 9TH AVE S
GREAT FALLS, MT 59405-5711
Phone number:
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