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Individual
MR. JOEY LEMAR WELLS JR.
Active
Individual
MR. JOEY LEMAR WELLS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
NONEXISTENT
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
09/20/2019
Last updated
09/20/2019
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