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Organization

AE WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMIE K MCCOY (MANAGER)
(573) 225-2151
Entity
Organization

Contact information

Practice address
415 W MAIN ST, SUITE B, JACKSON, MO 63755-1801
(573) 225-2151
Mailing address
415 W MAIN ST, SUITE B, JACKSON, MO 63755-1801
(573) 225-2151

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
03/03/2015
Last updated
04/20/2016
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