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1194350454
JEREMY BIRD
KINGMAN, AZ
NPI
1194350454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-03-06
Last Update Date
2020-04-24
Business Address
JEREMY BIRD
3801 SANTA ROSA DR STE 400
KINGMAN, AZ 86401-2311
Phone number: 928-681-8530
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Mailing Address
JEREMY BIRD
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409-3619
Phone number: 928-263-4722
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