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1114636735
JESSICA RAE PENNINGTON
ELKINS, WV
NPI
1114636735
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Former Name
JESSICA RAE GEAR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-11-22
Last Update Date
2022-11-22
Business Address
JESSICA RAE PENNINGTON
#1 FIFTH ST
ELKINS, WV 26241
Phone number: 304-636-4747
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Mailing Address
JESSICA RAE PENNINGTON
PO BOX 727
ELKINS, WV 26241-0727
Phone number: 304-636-4747
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