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Individual

MRS. EMILY RAE DUTTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
7559 HIGHWAY 72 W, MADISON, AL 35758-8811
(256) 414-0488
Mailing address
24512 BROKEN SOUND LOOP, ORANGE BEACH, AL 36561-4474

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1-155203
AL
363LF0000X
Family Nurse Practitioner
Primary
11028913
FL

Other

Enumeration date
02/18/2019
Last updated
06/06/2024
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