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1922875327
SUMMER DAWN FOUNTAIN
MOBILE, AL
NPI
1922875327
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-108209)
Enumeration Date
2023-12-06
Last Update Date
2024-01-11
Business Address
SUMMER DAWN FOUNTAIN
1601 CENTER ST
MOBILE, AL 36604-1541
Phone number: 251-660-5108
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Mailing Address
SUMMER DAWN FOUNTAIN
PO BOX 746450
ATLANTA, GA 30374-6450
Phone number: 866-401-3057
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