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Individual

ROBERT LAYNE EATON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ACNPC-AG

Contact information

Practice address
3295 ORION PATH, CHUNCHULA, AL 36521-6249
(251) 454-2623
Mailing address
3295 ORION PATH, CHUNCHULA, AL 36521-6249
(251) 454-2623

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
902545
MS
363LA2100X
Acute Care Nurse Practitioner
9483320
FL

Other

Enumeration date
07/13/2018
Last updated
07/13/2018
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