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1912574641
JACKIE L DENNY
PETERSBURG, WV
NPI
1912574641
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-06-10
Last Update Date
2021-06-10
Business Address
JACKIE L DENNY
411 VIRGINIA AVE STE A
PETERSBURG, WV 26847-1719
Phone number: 304-250-4545
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Mailing Address
JACKIE L DENNY
411 VIRGINIA AVE STE A
PETERSBURG, WV 26847-1719
Phone number: 304-250-4545
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