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1952988495
VIVIAM FRADE DANTE
MUSCLE SHOALS, AL
NPI
1952988495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AL 1-126099)
Enumeration Date
2021-03-29
Last Update Date
2021-07-28
Business Address
VIVIAM FRADE DANTE CRNP
102 PHYSICIANS DR STE A
MUSCLE SHOALS, AL 35661-2149
Phone number: 256-286-4026
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Mailing Address
VIVIAM FRADE DANTE CRNP
715 W DEARBORN AVE
MUSCLE SHOALS, AL 35661-2911
Phone number: 256-394-7272
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