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1003420167
TINA MICHELLE PROUT
HUNTINGTON, WV
NPI
1003420167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-09-04
Last Update Date
2021-06-24
Business Address
TINA MICHELLE PROUT
814 24TH ST
HUNTINGTON, WV 25703-1948
Phone number: 304-654-4337
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Mailing Address
TINA MICHELLE PROUT
814 24TH ST
HUNTINGTON, WV 25703-1948
Phone number: 304-654-4337
Copy
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