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1962984104
JENNELYN IPO MONEDA
MORGANTOWN, WV
NPI
1962984104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP9325543)
Enumeration Date
2018-09-04
Last Update Date
2024-05-15
Business Address
JENNELYN IPO MONEDA APRN
423 FORTRESS BLVD
MORGANTOWN, WV 26508-1351
Phone number: 844-852-9510
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Mailing Address
JENNELYN IPO MONEDA APRN
423 FORTRESS BLVD
MORGANTOWN, WV 26508-1351
Phone number: 844-852-9510
Copy
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