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Organization
PROVIDENCE HEALTHCARE SERVICES INC
Active
Organization
PROVIDENCE HEALTHCARE SERVICES INC
Active
Other names
Employee Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARK P. CHRISTIANSON (PRESIDENT)
(251) 633-1660
Entity
Organization
Contact information
Practice address
6701 AIRPORT BLVD, SUITE C132, MOBILE, AL 36608-6705
(251) 631-3501
(251) 631-3504
Mailing address
PO BOX 850489, MOBILE, AL 36685-0489
(251) 342-3949
(251) 631-3361
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-071676
AL
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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