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1184308041
JERRY T HARRIS
SOUTH CHARLESTON, WV
NPI
1184308041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2023-06-12
Last Update Date
2023-06-12
Business Address
JERRY T HARRIS
325 4TH AVE STE 1
SOUTH CHARLESTON, WV 25303-1266
Phone number: 304-744-4940
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Mailing Address
JERRY T HARRIS
325 4TH AVE STE 1
SOUTH CHARLESTON, WV 25303-1266
Phone number: 304-744-4940
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