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Individual

JUSTINA BOGGESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
123 COON CREEK RD, CAMDEN ON GAULEY, WV 26208-9606
(304) 226-5963
Mailing address
123 COON CREEK RD, CAMDEN ON GAULEY, WV 26208-9606
(304) 226-5963

Taxonomy

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

Other

Enumeration date
02/22/2021
Last updated
02/22/2021
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