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JAMIE WADE

Contractor

NPI: 1720778251Individual

Specialties, Licenses & Credentials

Driver

Code: 172A00000X

ContractorPrimary

Contractor

Code: 171W00000X

Contact & Hours

Address
86 PR 25162
SOUTH TEXARKANA, TX 75501

Quick Facts

NPI
1720778251
Entity Type
Individual
Gender
Female
Medicare
Not confirmed
Specialties
2
Locations
1

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