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1093388241
JONATHON CARL KENNEDY
BERWIND, WV
NPI
1093388241
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2021-07-23
Last Update Date
2021-07-23
Business Address
JONATHON CARL KENNEDY
48 EBENEZER LN
BERWIND, WV 24815-5111
Phone number: 541-727-2457
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Mailing Address
JONATHON CARL KENNEDY
48 EBENEZER LN
BERWIND, WV 24815-5111
Phone number: 541-727-2457
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