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1932210226
EDWARD TILLMAN
GUNTERSVILLE, AL
NPI
1932210226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
-- EDWARD TILLMAN M.R.E.
22165 US HIGHWAY 431
GUNTERSVILLE, AL 35976-8994
Phone number: 256-582-4465
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Mailing Address
-- EDWARD TILLMAN M.R.E.
1035 LAKE VIEW LN NW
ARAB, AL 35016-4552
Phone number: 256-931-4809
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