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1083209399
JENNIFER LOPEZ
BECKLEY, WV
NPI
1083209399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-03-08
Last Update Date
2021-03-08
Business Address
JENNIFER LOPEZ
106 RIDER DR
BECKLEY, WV 25801-2439
Phone number: 304-222-2495
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Mailing Address
JENNIFER LOPEZ
106 RIDER DR
BECKLEY, WV 25801-2439
Phone number:
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