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Individual

MARIE E JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
429 BETHEL RD, MORGANTOWN, WV 26501-2198
(304) 599-2079
Mailing address
429 BETHEL RD, MORGANTOWN, WV 26501-2198

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
06/18/2025
Last updated
06/18/2025
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