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Individual

TACHINA J APPLEBERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
53 WILLIAMS ST, SYLACAUGA, AL 35150-5503
(205) 291-1373
Mailing address
53 WILLIAMS ST, SYLACAUGA, AL 35150-5503
(205) 291-1373

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
0280
AL

Other

Enumeration date
11/16/2023
Last updated
11/16/2023
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