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1891726527
ELLEN VIRGINIA DRAGSTEN
DECATUR, AL
NPI
1891726527
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: AL 00020153)
Enumeration Date
2006-07-05
Last Update Date
2012-12-04
Business Address
Mrs. ELLEN VIRGINIA DRAGSTEN MD
68 MARCO DRIVE SE
DECATUR, AL 35603-0000
Phone number: 256-432-2007
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Mailing Address
Mrs. ELLEN VIRGINIA DRAGSTEN MD
PO BOX 970
RUSSELLVILLE, AL 35653-0970
Phone number: 256-332-1631
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