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Individual

SEAN MICHAEL MOHATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
1530 3RD AVE S, BRTW 154, BIRMINGHAM, AL 35294-0002
(205) 934-6013
Mailing address
6225 S 34TH ST, APT # 247, LINCOLN, NE 68516-6610

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
902
AL

Other

Enumeration date
09/01/2006
Last updated
07/08/2007
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