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Individual

JEREMY BRENT HALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
921 SKELTON AVE, GARDENDALE, AL 35071-2826
(205) 503-2742
Mailing address
921 SKELTON AVE, GARDENDALE, AL 35071-2826
(205) 503-2742

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-145132
AL

Other

Enumeration date
10/20/2016
Last updated
10/20/2016
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