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1417794215
JEFFREY WAYNE ROBERSON
BOAZ, AL
NPI
1417794215
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AL 1-124441)
Enumeration Date
2024-07-10
Last Update Date
2024-07-10
Business Address
JEFFREY WAYNE ROBERSON
100 ALEWINE ST
BOAZ, AL 35956-3021
Phone number: 256-490-1003
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Mailing Address
JEFFREY WAYNE ROBERSON
100 ALEWINE ST
BOAZ, AL 35956-3021
Phone number: 256-490-1003
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