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1124615141
CORNELIUS JARED FELIX
GRAFTON, WV
NPI
1124615141
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2020-12-23
Last Update Date
2020-12-23
Business Address
CORNELIUS JARED FELIX
414 DEWEY AVE
GRAFTON, WV 26354-1708
Phone number: 304-641-9944
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Mailing Address
CORNELIUS JARED FELIX
414 DEWEY AVE
GRAFTON, WV 26354-1708
Phone number: 304-641-9944
Copy
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