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Individual

ANGELETTE SUMMERS PAUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7272 THEODORE DAWES RD STE B, THEODORE, AL 36582-4136
(251) 607-6653
Mailing address
1935 WOODVALLEY CT, SEMMES, AL 36575-7410
(251) 510-4565

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-090614
AL

Other

Enumeration date
07/30/2022
Last updated
07/30/2022
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