IAN SAMUELSON

ATHENS, AL
NPI1932510534
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AL  1-121085)
Enumeration Date2014-05-16
Last Update Date2014-05-16
Business Address
-- IAN SAMUELSON CRNP
1005 W MARKET ST STE 7
ATHENS, AL 35611-2454
Phone number: 256-233-9273
Mailing Address
-- IAN SAMUELSON CRNP
1005 W MARKET ST STE 7
ATHENS, AL 35611-2454
Phone number: 256-233-9273
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