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Individual

ALICIA RAY BASHKIHARATEE BOYD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
8375 HIGHWAY 72 W, MADISON, AL 35758-9573
(256) 265-5001
Mailing address
6941 HIGHWAY 72 W APT 7110, HUNTSVILLE, AL 35806-2886
(985) 628-2104

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-114347
AL

Other

Enumeration date
03/18/2018
Last updated
03/18/2018
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