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1316680044
EBONY JERNIGAN
NEW HAVEN, CT
NPI
1316680044
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-20
Last Update Date
2023-05-12
Business Address
EBONY JERNIGAN
20 YORK ST
NEW HAVEN, CT 06510-3220
Phone number: 203-688-4242
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Mailing Address
EBONY JERNIGAN
20 YORK ST
NEW HAVEN, CT 06510-3220
Phone number: 203-688-4242
Copy
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