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Individual

ANCIL BAISDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
387 VICKERS BRANCH RD, CHAPMANVILLE, WV 25508-7554
(304) 784-3351
Mailing address
387 VICKERS BRANCH RD, CHAPMANVILLE, WV 25508-7554
(304) 784-3351

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
10/02/2023
Last updated
10/02/2023
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