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1609418342
JOSHUA WAYNE BANKSTON
TUSCALOOSA, AL
NPI
1609418342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AL 1-159330)
Enumeration Date
2019-10-15
Last Update Date
2020-05-22
Business Address
JOSHUA WAYNE BANKSTON
809 UNIVERSITY BLVD E
TUSCALOOSA, AL 35401-2029
Phone number: 205-759-7122
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Mailing Address
JOSHUA WAYNE BANKSTON
233 BLUE WATER POINTE DR
JASPER, AL 35504-4075
Phone number: 205-387-4148
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