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1679233928
JESSLYN RENAY FULLERTON
BLUEFIELD, WV
NPI
1679233928
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225800000X Recreation Therapist
Enumeration Date
2021-12-28
Last Update Date
2021-12-28
Business Address
JESSLYN RENAY FULLERTON ATRIC, AEAC
1012 ALBEMARLE ST
BLUEFIELD, WV 24701-4514
Phone number: 304-952-6300
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Mailing Address
JESSLYN RENAY FULLERTON ATRIC, AEAC
1012 ALBEMARLE ST
BLUEFIELD, WV 24701-4514
Phone number: 304-952-6300
Copy