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Individual

JAMIE TUDOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
284 BIG LAUREL RD, BRANCHLAND, WV 25506-7778
(304) 989-6503
Mailing address
PO BOX 243, ALKOL, WV 25501-0243

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
06/16/2025
Last updated
06/16/2025
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