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Individual
JEFF H BYRAM
Active
Individual
JEFF H BYRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
3108
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12801679
—
AR
Enumeration date
02/01/2008
Last updated
01/27/2012
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