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1700481942
JESSICA NICOLE MALLORY
WEIRTON, WV
NPI
1700481942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-12-04
Last Update Date
2020-12-04
Business Address
JESSICA NICOLE MALLORY
501 COLLIERS WAY
WEIRTON, WV 26062-5003
Phone number: 304-723-5440
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Mailing Address
JESSICA NICOLE MALLORY
501 COLLIERS WAY
WEIRTON, WV 26062-5003
Phone number: 304-723-5440
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