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1386300093
JESSICA WALLACE
BECKLEY, WV
NPI
1386300093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-11-17
Last Update Date
2021-11-17
Business Address
JESSICA WALLACE
130 GEORGE ST STE J
BECKLEY, WV 25801-2648
Phone number: 304-929-2670
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Mailing Address
JESSICA WALLACE
510 EWART AVE APT 42
BECKLEY, WV 25801-3451
Phone number: 304-362-2662
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