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EVIE HACKNEY

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1083203970

Individual Registrant:
 EVIE  HACKNEY 
Gender: F
Sole Proprietor

Location and contact information for practice:
18965 PECAN LN  ROBERTSDALE, AL 36567-6102 US
Tel: 251-752-5649  Fax: --

Contact information for business:
18965 PECAN LN  ROBERTSDALE, AL 36567-6102 US
Tel: 251-752-5649  Fax: --

Registration Information:
NPI: 1083203970
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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