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Individual

MR. JOSEPH EDWARD JARRELL JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
5402 MACCORKLE AVE SE, BODY TRANQUIL LLC, CHARLESTON, WV 25304-2224
(304) 395-3865
Mailing address
5402 MACCORKLE AVE SE, BODY TRANQUIL LLC, CHARLESTON, WV 25304-2224
(304) 395-3865

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20062167

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00182342
BLUE CROSS BLUE SHIELD
WV
Enumeration date
03/19/2007
Last updated
04/06/2010
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