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1871634683
MARY PENFIELD LANE
BIRMINGHAM, AL
NPI
1871634683
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-025087)
Enumeration Date
2007-02-12
Last Update Date
2007-07-09
Business Address
Mrs. MARY PENFIELD LANE CRNP
5369 PINEYWOOD RD
BIRMINGHAM, AL 35242-3424
Phone number: 205-991-6426
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Mailing Address
Mrs. MARY PENFIELD LANE CRNP
5369 PINEYWOOD RD
BIRMINGHAM, AL 35242-3424
Phone number: 205-991-6426
Copy
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