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1114378486
JOSHUA ELLEDGE
CENTREVILLE, AL
NPI
1114378486
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: AL 1-136007)
Enumeration Date
2016-06-28
Last Update Date
2016-06-28
Business Address
MR. JOSHUA ELLEDGE CRNP
405 BELCHER ST
CENTREVILLE, AL 35042-2946
Phone number: 205-926-2992
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Mailing Address
MR. JOSHUA ELLEDGE CRNP
405 BELCHER ST
CENTREVILLE, AL 35042-2946
Phone number: 205-926-2992
Copy
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