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Individual
MR. RICKY JEREMY CARWILE
Active
Individual
MR. RICKY JEREMY CARWILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-135527
AL
363LA2200X
Adult Health Nurse Practitioner
1-135527
AL
363LG0600X
Gerontology Nurse Practitioner
1-135527
AL
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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