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1619751369
JENNA LEIGHANN FOWLER
CLAY, WV
NPI
1619751369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2023-08-23
Last Update Date
2023-08-23
Business Address
JENNA LEIGHANN FOWLER
172 MAIN STREET
CLAY, WV 25043
Phone number: 304-587-4251
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Mailing Address
JENNA LEIGHANN FOWLER
PO BOX 455
CLAY, WV 25043-0455
Phone number: 304-587-4251
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