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Individual
JOBY LEE HURST
Active
Individual
JOBY LEE HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4516
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00031552
—
AL
01
—
51031552
BLUECROSS AND BLUE SHIELD
AL
Enumeration date
04/04/2007
Last updated
07/08/2007
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