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Individual

CASSANDRA LEANN EZELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8000 MADISON BLVD STE B, MADISON, AL 35758-2035
(256) 461-6903
(256) 464-8457
Mailing address
8000 MADISON BLVD STE B, MADISON, AL 35758-2035
(256) 461-6903
(256) 464-8457

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19975
AL

Other

Enumeration date
08/20/2020
Last updated
08/20/2020
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