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1003402546
SANDRA BLAKE
BUCKHANNON, WV
NPI
1003402546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2020-12-18
Last Update Date
2020-12-18
Business Address
SANDRA BLAKE
8 N SPRING ST
BUCKHANNON, WV 26201-2720
Phone number: 304-472-0395
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Mailing Address
SANDRA BLAKE
125 MULBERRY AVE
WESTON, WV 26452-1521
Phone number: 304-476-7918
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