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1003410028
MARTHA CLARK
MORGANTOWN, WV
NPI
1003410028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-11-30
Last Update Date
2020-11-30
Business Address
MARTHA CLARK
382 BROADWAY AVE
MORGANTOWN, WV 26505-0364
Phone number: 304-599-7743
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Mailing Address
MARTHA CLARK
382 BROADWAY AVE
MORGANTOWN, WV 26505-0364
Phone number: 304-599-7743
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