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1164261848
JONATHAN JAMES MOWRY
PETERSBURG, WV
NPI
1164261848
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2024-05-22
Last Update Date
2024-05-22
Business Address
JONATHAN JAMES MOWRY
1409 NORTH FORK HWY
PETERSBURG, WV 26847
Phone number: 304-851-2645
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Mailing Address
JONATHAN JAMES MOWRY
1409 NORTH FORK HWY
PETERSBURG, WV 26847
Phone number: 304-851-2645
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