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Cissy Pugh Harcus, LPN Valid NPI

Individual provider · Licensed Practical Nurse · Fort Rucker, AL

NPI
1558528679
Type
Individual (Type 1)
Primary specialty
Licensed Practical Nurse
Specialty group
Nursing Service Providers
Taxonomy code
164W00000X
License number
2-049313 (AL)
Sex
Female
Sole proprietor
No
Enumerated
2008-05-16
Last updated
2008-05-16
Practice location
Building 301 Andrews Ave, Lyster Army Health Clinic
Fort Rucker, AL 36362-5333
(334) 255-7883

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