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Gracie Gum, MOTR/L

NPI 1710767132 · on the registry since 2023 · sole proprietor

Practice

Address
1622 Indian Fork Rd
New Milton, WV 26411
Phone
(304) 871-6568

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
WV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-10-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia