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Individual

MR. JASON ROY KEABLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
203 S CANDY LN STE 1A, COTTONWOOD, AZ 86326-8104
(850) 320-3203
(928) 639-0167
Mailing address
203 S CANDY LN STE 1A, COTTONWOOD, AZ 86326-8104
(850) 320-3203
(928) 639-0167

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP11149
AZ

Other

Enumeration date
02/22/2016
Last updated
10/06/2020
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