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Thaila Keodouangdy
Family Nurse Practitioner in Citronelle, Alabama
NPI 1104448919

Thaila Keodouangdy is a Family Nurse Practitioner based in Mobile, AL and is specialized in Family. Thaila Keodouangdy practices in Citronelle, AL. The NPI Number for Thaila Keodouangdy is 1104448919 and holds a License No. 1-136625 (Alabama).

The current practice location address for Thaila Keodouangdy is 19250 N Mobile St, Citronelle, AL and can be reached out via phone at 251-866-9126. You can also correspond with Thaila Keodouangdy through the mailing address at PO BOX 2867, MOBILE, AL - 36652-2867 (mailing address contact number: 251-690-8158).

Location: 19250 N Mobile St, Citronelle, AL, 36652-2867
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Provider Profile Details
NPI Number
1104448919
Provider Name
Thaila Keodouangdy
Credential
Provider Entity Type
Individual
Gender
Female
Address
19250 N Mobile St, Citronelle, AL, 36652-2867
Phone Number
251-866-9126
Fax Number
Provider Enumeration Date
05/14/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
261555 05 AL
institution
Provider Business Practice Location Address Details
Address
19250 N Mobile St
City
State
Zip
36522-2122
Phone Number
251-866-9126
Fax Number
person
Provider Business Mailing Address Details
Address
19250 N Mobile St
City
State
Zip
36522-2122
Phone Number
251-866-9126
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
1-136625 (Alabama)
Definition
Definition to come...
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