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Individual

MRS. JENNY REBECCA PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PRSS

Contact information

Practice address
209 ORCHARD AVE, BECKLEY, WV 25801-4825
(304) 640-2956
Mailing address
209 ORCHARD AVE, BECKLEY, WV 25801-4825
(304) 640-2956

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
WV

Other

Enumeration date
07/05/2022
Last updated
07/05/2022
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