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1528733748
CARRIE L JACKSON
CHARLESTON, WV
NPI
1528733748
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-08-10
Last Update Date
2021-08-10
Business Address
CARRIE L JACKSON
802 WESTMINISTER WAY
CHARLESTON, WV 25314-2015
Phone number: 304-419-2634
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Mailing Address
CARRIE L JACKSON
802 WESTMINISTER WAY
CHARLESTON, WV 25314-2015
Phone number: 304-419-2634
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