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Individual

MAUDE CREPAULT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
625 19TH ST S, BIRMINGHAM, AL 35249
(205) 934-3640
Mailing address
625 19TH ST S, BIRMINGHAM, AL 35249

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34723
AL

Other

Enumeration date
04/22/2014
Last updated
05/15/2017
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