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1952063380
INNOVATIVE HEALTH PRACTICE CENTER, LLC
TUSCALOOSA, AL
NPI
1952063380
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Entity Type
Organization
Authorized Contact
LATONIA MITCHELL
Owner
205-462-3255
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
Enumeration Date
2021-10-13
Last Update Date
2021-10-13
Business Address
INNOVATIVE HEALTH PRACTICE CENTER, LLC
5025 OVERBROOK RD
TUSCALOOSA, AL 35405-5774
Phone number: 205-462-3255
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Mailing Address
INNOVATIVE HEALTH PRACTICE CENTER, LLC
PO BOX 706
COTTONDALE, AL 35453-0108
Phone number: 205-462-3255
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