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1063925626
JESSICA E POITEVINT
ENTERPRISE, AL
NPI
1063925626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: AL 1-116339)
Enumeration Date
2017-11-06
Last Update Date
2022-06-14
Business Address
JESSICA E POITEVINT CRNP
105 E WATTS ST
ENTERPRISE, AL 36330-2511
Phone number: 334-393-5437
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Mailing Address
JESSICA E POITEVINT CRNP
1414 ELBA HWY
TROY, AL 36079-6020
Phone number: 334-670-6726
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