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1952904419
ELLEN MASSENGALE
MOBILE, AL
NPI
1952904419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-137850)
Enumeration Date
2020-11-18
Last Update Date
2020-11-18
Business Address
ELLEN MASSENGALE
6280 GRELOT RD
MOBILE, AL 36609-3614
Phone number: 251-288-5606
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Mailing Address
ELLEN MASSENGALE
1500 1ST AVE N UNIT 3
BIRMINGHAM, AL 35203-1866
Phone number: 205-545-5088
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