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Individual

BRYANT JARRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
43 HERITAGE LN, RIDGEVIEW, WV 25169-9274
(304) 744-1636
Mailing address
43 HERITAGE LN, RIDGEVIEW, WV 25169-9274
(304) 744-1636

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
07/23/2020
Last updated
08/19/2021
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Product
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