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1710615539
JENAE LACHELLE JACKSON
FAIRMONT, WV
NPI
1710615539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-08-10
Last Update Date
2022-08-10
Business Address
JENAE LACHELLE JACKSON
924 VIRGINIA AVE
FAIRMONT, WV 26554-3651
Phone number: 304-996-3061
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Mailing Address
JENAE LACHELLE JACKSON
924 VIRGINIA AVE
FAIRMONT, WV 26554-3651
Phone number: 304-996-3061
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