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Individual

JAMIE HUDLER MADDOX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
315 MCHUGH BLVD, CAMP LEJEUNE, NC 28547-2511
(910) 451-4198
Mailing address
2D DENBN-NDC,PSC 20130, 315 MCHUGH BLVD, CAMP LEJEUNE, NC 28542

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
7266
NC

Other

Enumeration date
06/10/2021
Last updated
06/10/2021
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