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1982234498
VICTORIA PATE
PHENIX CITY, AL
NPI
1982234498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: AL S12699)
Enumeration Date
2020-01-23
Last Update Date
2020-01-23
Business Address
VICTORIA PATE
2806 GATEWOOD DR
PHENIX CITY, AL 36870-2321
Phone number: 205-826-2530
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Mailing Address
VICTORIA PATE
2806 GATEWOOD DR
PHENIX CITY, AL 36870-2321
Phone number:
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