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Individual

JASON WAMPLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
12500 WILLOWBROOK RD, CUMBERLAND, MD 21502-6393
(240) 964-3000
Mailing address
13001 BEECHIE LN SW, FROSTBURG, MD 21532-3616
(240) 727-7680

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R205002
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
R205002
MD

Other

Enumeration date
06/11/2022
Last updated
03/02/2023
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