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1942803564
JESSICA JOHNSON
CHARLESTON, WV
NPI
1942803564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-11-17
Last Update Date
2020-11-20
Business Address
JESSICA JOHNSON
715 RANDOLPH ST APT 401
CHARLESTON, WV 25302-1839
Phone number: 304-343-0138
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Mailing Address
JESSICA JOHNSON
612 VIRGINIA ST E STE 300
CHARLESTON, WV 25301-2175
Phone number: 304-343-1130
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