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1619391265
JEFFERSON EDGINGTON
TROY, AL
NPI
1619391265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-097146)
Enumeration Date
2014-02-18
Last Update Date
2017-05-15
Business Address
-- JEFFERSON EDGINGTON NP-C
1412 ELBA HWY
TROY, AL 36079-6020
Phone number: 334-566-8822
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Mailing Address
-- JEFFERSON EDGINGTON NP-C
1414 ELBA HWY
TROY, AL 36079-6020
Phone number: 334-670-6726
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