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1760219273
JANESSA K HAWK
CLAY, WV
NPI
1760219273
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2024-09-18
Last Update Date
2024-09-18
Business Address
JANESSA K HAWK
172 MAIN STREET
CLAY, WV 25043
Phone number: 304-587-4251
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Mailing Address
JANESSA K HAWK
PO BOX 455
CLAY, WV 25043-0455
Phone number: 304-587-4251
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