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1548823628
JENNA M BAIN
RONCEVERTE, WV
NPI
1548823628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WV 105700)
Enumeration Date
2019-04-15
Last Update Date
2024-06-11
Business Address
JENNA M BAIN CRNP
1320 MAPLEWOOD AVE
RONCEVERTE, WV 24970-8016
Phone number: 304-647-6006
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Mailing Address
JENNA M BAIN CRNP
501 MORRIS ST
CHARLESTON, WV 25301-1326
Phone number: 304-647-6006
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