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Jaime Leighann Corcoran

NPI Registration Record

Provider / OrganizationNPIDate Certified
JAIME LEIGHANN CORCORAN13862596532020-09-13
Entity TypeIndividual
Provider Name Jaime Leighann Corcoran NP
Practice Office Address2422 DANVILLE RD SW STE E
DECATUR, AL US
Practice Office Telephone2563559040
Mailing Address2422 DANVILLE RD SW STE E
DECATUR, AL 356034221 US
Business Telephone2563559040
HPT Codes
CodeLicense NoState
363LF0000X PRIMARY1-100008 AL
OPI Codes

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