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1689260937
JEZZERIAH FULAYTAR
FAIRMONT, WV
NPI
1689260937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-12-21
Last Update Date
2020-12-21
Business Address
JEZZERIAH FULAYTAR
1515 MORGANTOWN AVE
FAIRMONT, WV 26554-4509
Phone number: 304-623-5666
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Mailing Address
JEZZERIAH FULAYTAR
1515 MORGANTOWN AVE
FAIRMONT, WV 26554-4509
Phone number: 304-623-5666
Copy
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