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1851147458
QUIAWANNA DALLAS
BIRMINGHAM, AL
NPI
1851147458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AL 1-182128)
Enumeration Date
2024-04-25
Last Update Date
2024-04-25
Business Address
QUIAWANNA DALLAS
2100 SOUTHBRIDGE PKWY STE 650
BIRMINGHAM, AL 35209-1317
Phone number: 646-941-7645
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Mailing Address
QUIAWANNA DALLAS
2779 SOUTHWOOD LN
BESSEMER, AL 35022-5692
Phone number: 205-644-3328
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