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Individual

JUNETA SPURLOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
25072 NORTHWESTERN PIKE, ROMNEY, WV 26757-5039
(304) 822-2177
Mailing address
456 FAWN RDG, PETERSBURG, WV 26847-8050
(540) 836-5452

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
52458
WV
163WH0200X
Home Health Registered Nurse
52458
WV
171M00000X
Case Manager/Care Coordinator
52458
WV
251E00000X
Home Health Agency
52458
3747P1801X
Personal Care Attendant

Other

Enumeration date
11/06/2020
Last updated
11/08/2022
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