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Individual

MRS. KRISTIN L SPONAUGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1898 MULBERRY ST, MONTGOMERY, AL 36106-1526
(334) 239-7059
Mailing address
1898 MULBERRY ST, MONTGOMERY, AL 36106-1526
(334) 239-7059

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.1564
AL
363A00000X
Physician Assistant
PA9108355
FL
363A00000X
Physician Assistant
TMA052689
PA

Other

Enumeration date
09/06/2012
Last updated
08/28/2020
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