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Gracelyn Wade
Student in an Organized Health Care Education/Training Program in Sylacauga, Alabama
NPI 1538799036

Gracelyn Wade is a Student in an Organized Health Care Education/Training Program based in Sylacauga, AL. Gracelyn Wade practices in Sylacauga, AL. The NPI Number for Gracelyn Wade is 1538799036 and holds a License No. S12694 (Alabama).

The current practice location address for Gracelyn Wade is 4006 Oldfield Rd, Sylacauga, AL and can be reached out via phone at 256-861-6234.

Location: 4006 Oldfield Rd, Sylacauga, AL, 35150-8110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538799036
Provider Name
Gracelyn Wade
Credential
Provider Entity Type
Individual
Gender
Female
Address
4006 Oldfield Rd, Sylacauga, AL, 35150-8110
Phone Number
256-861-6234
Fax Number
Provider Enumeration Date
01/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4006 Oldfield Rd
City
Sylacauga
State
Alabama
Zip
35150-8110
Phone Number
256-861-6234
Fax Number
person
Provider Business Mailing Address Details
Address
4006 Oldfield Rd
City
Sylacauga
State
Alabama
Zip
35150-8110
Phone Number
256-861-6234
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
S12694 (Alabama)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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