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Individual

BORDEN GRAY CATER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1617 BECKHAM DR, HOMEWOOD, AL 35209-1721
(334) 590-9129
Mailing address
1617 BECKHAM DR, HOMEWOOD, AL 35209-1721
(334) 590-9129

Taxonomy

Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary

Other

Enumeration date
09/02/2021
Last updated
09/02/2021
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