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Individual
JONATHAN WALLACE GURR
Active
Individual
JONATHAN WALLACE GURR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
76726
GA
208000000X
Pediatrics Physician
Primary
MD. 35327
AL
Other
Enumeration date
11/12/2009
Last updated
10/31/2016
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