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1912095233
ROY EDWARD CRUMLEY-FOREST
JACKSONVILLE, FL
NPI
1912095233
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP 1560042)
Enumeration Date
2006-10-11
Last Update Date
2010-11-22
Business Address
Mr. ROY EDWARD CRUMLEY-FOREST ARNP
3129 HENDRICKS AVENUE
JACKSONVILLE, FL 32207-4217
Phone number: 904-398-8266
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Mailing Address
Mr. ROY EDWARD CRUMLEY-FOREST ARNP
3129 HENDRICKS AVENUE
JACKSONVILLE, FL 32207-4217
Phone number: 904-398-8266
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