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1992059547
CORA DENICE GIPSON-PRUDE
BIRMINGHAM, AL
NPI
1992059547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AL 1-116561)
Enumeration Date
2012-11-05
Last Update Date
2012-11-05
Business Address
Mrs. CORA DENICE GIPSON-PRUDE CRNP
700 19TH ST S
BIRMINGHAM, AL 35233-1927
Phone number: 205-933-8101
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Mailing Address
Mrs. CORA DENICE GIPSON-PRUDE CRNP
228 PIKE RD
WOODSTOCK, AL 35188-3701
Phone number: 205-948-8344
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