JENESIS SAMUELS

FAIRMONT, WV
NPI1396340741
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172A00000X Driver
Enumeration Date2020-12-03
Last Update Date2020-12-03
Business Address
JENESIS SAMUELS
200 BRADDOCK ST
FAIRMONT, WV 26554-2208
Phone number: 304-534-0538
Mailing Address
JENESIS SAMUELS
200 BRADDOCK ST
FAIRMONT, WV 26554-2208
Phone number: 304-534-0538
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