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Individual

MRS. REBECCA MARIA GAINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
2850 HIGHWAY 101, ROGERSVILLE, AL 35652-6046
(256) 247-1331
(256) 247-9791
Mailing address
11631 HIGHWAY 101, LEXINGTON, AL 35648-3249
(256) 247-1331
(256) 247-9791

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0000013311
TN
363LF0000X
Family Nurse Practitioner
Primary
1-048778
AL

Other

Enumeration date
04/16/2007
Last updated
03/16/2009
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