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Individual

MR. SAMUEL LAVONE WOLFE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
900 MERCHANTS WALK SW, SUITE A, HUNTSVILLE, AL 35801-5267
(256) 880-9788
(256) 880-3228
Mailing address
900 MERCHANTS WALK SW, SUITE A, HUNTSVILLE, AL 35801-5267
(256) 880-9788
(256) 880-3228

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
090679
AL

Other

Enumeration date
10/16/2006
Last updated
07/08/2007
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