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1407567936
JAMIE LEE BACK
SPENCER, WV
NPI
1407567936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-12-06
Last Update Date
2022-12-06
Business Address
JAMIE LEE BACK
285 STOVER FRK
SPENCER, WV 25276-8625
Phone number: 304-373-8977
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Mailing Address
JAMIE LEE BACK
285 STOVER FRK
SPENCER, WV 25276-8625
Phone number: 304-373-8977
Copy
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