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1851139604
BREANA WHITTEN BLACK
BIRMINGHAM, AL
NPI
1851139604
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: AL 1-169032)
Enumeration Date
2024-07-16
Last Update Date
2024-07-16
Business Address
BREANA WHITTEN BLACK AGACNP-BC
3690 GRANDVIEW PKWY DEPT OF
BIRMINGHAM, AL 35243-3326
Phone number: 205-971-7651
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Mailing Address
BREANA WHITTEN BLACK AGACNP-BC
135 HORTON DR
ODENVILLE, AL 35120-3845
Phone number: 813-777-5691
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