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1578144283
JENNIFER BLACKWOOD
FAIRMONT, WV
NPI
1578144283
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-04-15
Last Update Date
2021-04-15
Business Address
JENNIFER BLACKWOOD
726 E PARK AVE # 105
FAIRMONT, WV 26554-4115
Phone number: 681-404-9133
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Mailing Address
JENNIFER BLACKWOOD
1201 STATE ST
FAIRMONT, WV 26554-3806
Phone number: 681-404-9133
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