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Individual

MRS. KELLY BRADFORD VAZQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.R.N.P.

Contact information

Practice address
1104 MONROE ST SW, HUNTSVILLE, AL 35801-5029
(256) 265-5864
(256) 265-5865
Mailing address
PO BOX 2705, HUNTSVILLE, AL 35804-2705
(256) 265-5864
(256) 265-5865

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-145099
AL

Other

Enumeration date
05/31/2016
Last updated
01/17/2019
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