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Individual

BROOKE E SELLERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
4300 W MAIN ST, SUITE 102, DOTHAN, AL 36305-1054
(334) 793-9564
(334) 671-8907
Mailing address
4300 W MAIN ST, SUITE 102, DOTHAN, AL 36305-1054
(334) 793-9564
(334) 671-8907

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-097573
AL

Other

Enumeration date
06/01/2009
Last updated
06/01/2009
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