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Individual

JACOB SLATER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9102 CALIFORNIA AVE APT 48, CHARLESTON, WV 25315-2046
(304) 444-1499
Mailing address
9102 CALIFORNIA AVE APT 48, CHARLESTON, WV 25315-2046
(304) 444-1499

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
08/26/2022
Last updated
08/26/2022
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