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Individual

MS. ALISON JAIDE DEWEESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
711 HIGHLAND AVE, MULLENS, WV 25882-1221
(304) 923-9523
Mailing address
711 HIGHLAND AVE, MULLENS, WV 25882-1221
(304) 923-9523

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
38517
WV

Other

Enumeration date
01/15/2020
Last updated
01/15/2020
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