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1386254845
JEREMY CLARKE BEVINS
PIKEVILLE, KY
NPI
1386254845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: KY 3014648)
Enumeration Date
2020-08-08
Last Update Date
2022-08-02
Business Address
JEREMY CLARKE BEVINS APRN
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501-1689
Phone number: 606-430-2201
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Mailing Address
JEREMY CLARKE BEVINS APRN
PO BOX 432
PIKEVILLE, KY 41502-0432
Phone number: 606-430-2201
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