Individual
MRS. JEAN M CONDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.T.
Contact information
Practice address
RR 5 BOX 126H, GRUNDY, VA 24614-9508
(276) 935-2651
Mailing address
RR 5 BOX 126H, GRUNDY, VA 24614-9508
(276) 935-2651
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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