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1477165264
ALISA DAWN JENKINS
HUNTINGTON, WV
NPI
1477165264
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Former Name
ALISA DAWN GALLIAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-08-21
Last Update Date
2024-03-07
Business Address
ALISA DAWN JENKINS
1017 28TH ST
HUNTINGTON, WV 25705-1009
Phone number: 304-691-9865
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Mailing Address
ALISA DAWN JENKINS
1017 28TH ST
HUNTINGTON, WV 25705-1009
Phone number: 304-691-9865
Copy
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