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Individual

PAMALA H FAIRCLOUGH

Active
Sole proprietor
No

Provider details

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

Contact information

Practice address
910 ADAMS ST SE, SUITE 300, HUNTSVILLE, AL 35801-3730
(256) 533-7420
(256) 536-4109
Mailing address
910 ADAMS ST SE, SUITE 300, HUNTSVILLE, AL 35801-3730
(256) 533-7420
(256) 536-4109

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
1-035715
AL

Other

Enumeration date
02/02/2007
Last updated
07/08/2007
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