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1518479617
JESSICA ELIZABETH LONGENETTE
SOUTH CHARLESTON, WV
NPI
1518479617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WV C2178)
Enumeration Date
2017-10-30
Last Update Date
2017-10-30
Business Address
JESSICA ELIZABETH LONGENETTE COTA/L
1000 LINCOLN DR
SOUTH CHARLESTON, WV 25309-2304
Phone number: 304-766-1722
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Mailing Address
JESSICA ELIZABETH LONGENETTE COTA/L
412 FLETCHER RD APT 6
SCOTT DEPOT, WV 25560-7298
Phone number: 304-940-5320
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