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1174114854
KANDICE KAY JACKSON
HUNTINGTON, WV
NPI
1174114854
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-01-27
Last Update Date
2021-01-27
Business Address
KANDICE KAY JACKSON
4329 HUGHES BRANCH RD
HUNTINGTON, WV 25701-9768
Phone number: 304-733-1094
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Mailing Address
KANDICE KAY JACKSON
238 RIGHT FORK BENS CRK
WHARNCLIFFE, WV 25651-7246
Phone number: 304-664-3200
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