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1891816690
NICHOLAS VAN WAGONER
BIRMINGHAM, AL
NPI
1891816690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RI0200X Internal Medicine, Infectious Disease
(Licence: AL 27161)
Enumeration Date
2007-04-02
Last Update Date
2023-06-28
Business Address
NICHOLAS VAN WAGONER
1717 6TH AVE S
BIRMINGHAM, AL 35233-1801
Phone number: 800-822-8816
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Mailing Address
NICHOLAS VAN WAGONER
1717 6TH AVE S
BIRMINGHAM, AL 35233-1801
Phone number:
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