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1952873283
WIREGRASS PODIATRY LLC
ENTERPRISE, AL
NPI
1952873283
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Entity Type
Organization
Authorized Contact
JENNIFER ROSE DECKER
Administrator
334-494-8200
Organization Subpart ?
No
Primary Taxonomy
213E00000X Podiatrist
Enumeration Date
2018-12-27
Last Update Date
2020-09-28
Business Address
WIREGRASS PODIATRY LLC
1008 BOLL WEEVIL CIR STE B
ENTERPRISE, AL 36330-3400
Phone number: 334-494-8200
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Mailing Address
WIREGRASS PODIATRY LLC
1008 BOLL WEEVIL CIR STE B
ENTERPRISE, AL 36330-3400
Phone number: 334-494-8200
Copy
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