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1679296065
JAXTYN T GRAY
SALEM, WV
NPI
1679296065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-09-21
Last Update Date
2022-09-21
Business Address
JAXTYN T GRAY
2265 W MAIN ST
SALEM, WV 26426-7615
Phone number: 304-782-2190
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Mailing Address
JAXTYN T GRAY
PO BOX 188
SALEM, WV 26426-0188
Phone number: 304-782-2190
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