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1912509381
JACK PLUM
ELKINS, WV
NPI
1912509381
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-11-11
Last Update Date
2020-11-11
Business Address
JACK PLUM
27 MIDWAY LOOP
ELKINS, WV 26241-1373
Phone number: 304-636-5252
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Mailing Address
JACK PLUM
27 MIDWAY LOOP
ELKINS, WV 26241-1373
Phone number: 304-636-5252
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