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1508450982
JILL VANDERGRIFT
FAIRMONT, WV
NPI
1508450982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-02-25
Last Update Date
2021-02-25
Business Address
JILL VANDERGRIFT
1412 LEVELS RD
FAIRMONT, WV 26554-6387
Phone number: 340-290-1139
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Mailing Address
JILL VANDERGRIFT
1412 LEVELS RD
FAIRMONT, WV 26554-6387
Phone number: 340-290-1139
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