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Individual

MS. JENNIFER SHEVONE EAST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
700 19TH ST S, BIRMINGHAM, AL 35233-1927
(205) 933-8101
Mailing address
2335 GRAYSON VALLEY CIR, BIRMINGHAM, AL 35235-3502
(706) 627-0089

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-057607
AL

Other

Enumeration date
04/13/2007
Last updated
07/08/2007
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