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Individual

JOLIE M PRIVETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1000 VERMILLION ST, ATHENS, WV 24712-9027
(800) 344-6679
Mailing address
1149 TWIN BRANCH DR, LEXINGTON, NC 27295-6021
(336) 341-9463

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
WV

Other

Enumeration date
07/24/2022
Last updated
07/24/2022
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