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1003487117
BROOKLYN QUEEN
CHARLESTON, WV
NPI
1003487117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-07-09
Last Update Date
2021-07-09
Business Address
BROOKLYN QUEEN
200 ASSOCIATION DR STE 130
CHARLESTON, WV 25311-1277
Phone number: 304-517-5407
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Mailing Address
BROOKLYN QUEEN
200 ASSOCIATION DR STE 130
CHARLESTON, WV 25311-1277
Phone number:
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