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1003542051
SALLY MAE COTEREL CHANEY
CHILLICOTHE, OH
NPI
1003542051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-07-30
Last Update Date
2022-07-30
Business Address
Mrs. SALLY MAE COTEREL CHANEY Sole Proprietor
6154 BLACK RUN RD
CHILLICOTHE, OH 45601-9155
Phone number: 740-804-5528
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Mailing Address
Mrs. SALLY MAE COTEREL CHANEY Sole Proprietor
6154 BLACK RUN RD
CHILLICOTHE, OH 45601-9155
Phone number: 740-804-5528
Copy
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