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1073041505
TYLER KEENUM
TUSCALOOSA, AL
NPI
1073041505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AL 1-142399)
Enumeration Date
2017-05-29
Last Update Date
2022-07-21
Business Address
TYLER KEENUM CRNP
2720 6TH ST
TUSCALOOSA, AL 35401-1731
Phone number: 205-759-8470
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Mailing Address
TYLER KEENUM CRNP
2720 6TH ST
TUSCALOOSA, AL 35401-1731
Phone number: 205-759-8470
Copy
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