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1679922132
JENNIFER FAIN
WELCH, WV
NPI
1679922132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WV 72618)
Enumeration Date
2016-06-06
Last Update Date
2018-05-24
Business Address
JENNIFER FAIN
19771 COAL HERITAGE RD
WELCH, WV 24801-9825
Phone number: 304-436-6650
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Mailing Address
JENNIFER FAIN
PO BOX 1650
PINEVILLE, WV 24874-1650
Phone number: 304-732-6735
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