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1164025821
JENNIFER SPROUSE
PARKERSBURG, WV
NPI
1164025821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-11-17
Last Update Date
2020-11-17
Business Address
JENNIFER SPROUSE
2503 BEVERLY ST APT 6G
PARKERSBURG, WV 26101-7157
Phone number: 304-615-2874
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Mailing Address
JENNIFER SPROUSE
2503 BEVERLY ST APT 6G
PARKERSBURG, WV 26101-7157
Phone number: 304-615-2874
Copy
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