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1861094625
JERRY HARRIS
CHARLESTON, WV
NPI
1861094625
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-11-16
Last Update Date
2020-11-16
Business Address
JERRY HARRIS
808 N. HILLS DR.
CHARLESTON, WV 25387
Phone number: 304-421-0726
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Mailing Address
JERRY HARRIS
808 N. HILLS DR.
CHARLESTON, WV 25387
Phone number: 304-421-0726
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