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1972114775
JONATHAN BERRY
SOUTH CHARLESTON, WV
NPI
1972114775
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-08-14
Last Update Date
2022-05-09
Business Address
JONATHAN BERRY
1837 SAND PLANT RD
SOUTH CHARLESTON, WV 25309-6027
Phone number: 304-756-4297
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Mailing Address
JONATHAN BERRY
1837 SAND PLANT RD
SOUTH CHARLESTON, WV 25309-6027
Phone number: 304-756-4297
Copy
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