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MIRIAM DENISE ALEXANDER

>> Contractor >> Other Service Providers

Registrant NPI Number: 1477103711

Individual Registrant:
 MIRIAM DENISE ALEXANDER 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1107 TIMBER LINE DR  VALDOSTA, GA 31602-3730 US
Tel: 706-496-1485  Fax: --

Contact information for business:
1107 TIMBER LINE DR  VALDOSTA, GA 31602-3730 US
Tel: --  Fax: --

Registration Information:
NPI: 1477103711
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171W00000XOther Service Providers
Contractor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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