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1215016118
JENNIFER A MALLOW
MORGANTOWN, WV
NPI
1215016118
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Former Name
JENNIFER A VESHNESKY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WV 56084)
Enumeration Date
2006-11-03
Last Update Date
2010-12-20
Business Address
Prof. JENNIFER A MALLOW FNP-BC
SPRUCE STREET
MORGANTOWN, WV 26506
Phone number: 304-293-1402
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Mailing Address
Prof. JENNIFER A MALLOW FNP-BC
PO BOX 9620 6613 HEALTH SCIENCES SOUTH
MORGANTOWN, WV 26506-9620
Phone number: 304-293-1402
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