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1124453204
JASON KEITH WILLOUGHBY
BESSEMER, AL
NPI
1124453204
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: AL 1-082033)
Enumeration Date
2013-09-09
Last Update Date
2020-11-17
Business Address
JASON KEITH WILLOUGHBY MSN, CRNP, NP-C
927 MEDICAL CENTER DR
BESSEMER, AL 35022-6081
Phone number: 205-481-8670
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Mailing Address
JASON KEITH WILLOUGHBY MSN, CRNP, NP-C
8463 SHORESIDE LN
HELENA, AL 35022-1607
Phone number: 205-789-5908
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