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Individual

JASON R JUDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
911 BYPASS RD # CLINIC2, PIKEVILLE, KY 41501-1689
(606) 218-6402
(606) 218-7502
Mailing address
PO BOX 432, PIKEVILLE, KY 41502-0432
(606) 218-6402
(606) 218-7502

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3012930
KY

Other

Enumeration date
01/29/2019
Last updated
01/29/2019
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