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1699387811
JAKE MEDINA
HAMLIN, WV
NPI
1699387811
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-08-19
Last Update Date
2020-08-19
Business Address
JAKE MEDINA
360 MAIN ST
HAMLIN, WV 25523-1412
Phone number: 304-824-3448
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Mailing Address
JAKE MEDINA
360 MAIN ST
HAMLIN, WV 25523-1412
Phone number: 304-824-3448
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