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1376157578
JESSICA SHAE BROCK
MOUNDSVILLE, WV
NPI
1376157578
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-09-04
Last Update Date
2020-10-21
Business Address
JESSICA SHAE BROCK
87 SWIERKOS DR
MOUNDSVILLE, WV 26041-4209
Phone number: 304-843-0910
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Mailing Address
JESSICA SHAE BROCK
143 CHAPEL RD
WHEELING, WV 26003-4871
Phone number: 304-843-0910
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