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Individual

JACOYA DESHAE MCLAURIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
811 ASH ST, ERIE, PA 16503-1325
(814) 340-1679
Mailing address
811 ASH ST, ERIE, PA 16503-1325
(814) 340-1679

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PA

Other

Enumeration date
05/06/2024
Last updated
05/06/2024
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