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1417580234
JESSICA BLACK
HARLAN, KY
NPI
1417580234
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2020-02-20
Last Update Date
2020-02-20
Business Address
JESSICA BLACK
640 MAY ST
HARLAN, KY 40831-1628
Phone number: 606-273-8096
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Mailing Address
JESSICA BLACK
640 MAY ST
HARLAN, KY 40831-1628
Phone number: 606-273-8096
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