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1043078876
JERRY BURGESS
BECKLEY, WV
NPI
1043078876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2024-03-07
Last Update Date
2024-03-07
Business Address
JERRY BURGESS
130 GEORGE ST STE J
BECKLEY, WV 25801-2648
Phone number: 304-929-2670
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Mailing Address
JERRY BURGESS
PO BOX 20112
CHARLESTON, WV 25362-1112
Phone number:
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