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Individual

JENNIFER TAYLOR-GUY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD., CCC-A

Contact information

Practice address
3701 DAUPHIN ST, MOBILE, AL 36608-1756
(251) 341-3368
(251) 341-3371
Mailing address
2880 DAUPHIN ST, MOBILE, AL 36606-2457
(251) 341-3368
(251) 341-3371

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
844-A
AL
237600000X
Audiologist-Hearing Aid Fitter
844-A
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51501321
BLUE CROSS PROVIDER #
AL
01
640004069
RAILROAD MEDICARE PROV. #
AL
Enumeration date
09/20/2005
Last updated
12/01/2011
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