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1679095699
JEREMY KEITH URBAN
DECATUR, AL
NPI
1679095699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-141602)
Enumeration Date
2017-07-11
Last Update Date
2018-08-13
Business Address
JEREMY KEITH URBAN FNP-BC
1103 16TH AVE SE
DECATUR, AL 35601
Phone number: 256-350-0362
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Mailing Address
JEREMY KEITH URBAN FNP-BC
1103 16TH AVE SE
DECATUR, AL 35601-3595
Phone number: 256-350-0362
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