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Individual

JEFF DURBIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 926-2544
Mailing address
3863 SW LOOP 820, SUITE 300, FORT WORTH, TX 76133-2064
(817) 294-7444

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
672401
TX

Other

Enumeration date
10/24/2006
Last updated
07/08/2007
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