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1811462658
JESSICA LEIAN EASTRIDGE
CHARLESTON, WV
NPI
1811462658
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Former Name
JESSICA LEIAN EWERS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WV 003367)
Enumeration Date
2018-10-08
Last Update Date
2018-10-08
Business Address
Dr. JESSICA LEIAN EASTRIDGE PT, DPT
300 BAKER LN
CHARLESTON, WV 25302-2900
Phone number: 304-346-2323
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Mailing Address
Dr. JESSICA LEIAN EASTRIDGE PT, DPT
632 KANAWHA BLVD W
CHARLESTON, WV 25302-1922
Phone number: 304-539-2919
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