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1346099116
DORTHA JACKSON
BARBOURSVILLE, WV
NPI
1346099116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2024-05-15
Last Update Date
2024-05-15
Business Address
DORTHA JACKSON
650 MAIN ST
BARBOURSVILLE, WV 25504-1439
Phone number: 304-302-0707
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Mailing Address
DORTHA JACKSON
650 MAIN ST
BARBOURSVILLE, WV 25504-1439
Phone number: 304-302-0707
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