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1003591546
AMANDA M HACKNEY
CHARLESTON, WV
NPI
1003591546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WV 30005)
Enumeration Date
2023-06-21
Last Update Date
2023-06-21
Business Address
Miss AMANDA M HACKNEY LPN
1614 RAVINIA RD
CHARLESTON, WV 25314-1846
Phone number: 304-859-0520
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Mailing Address
Miss AMANDA M HACKNEY LPN
1614 RAVINIA RD
CHARLESTON, WV 25314-1846
Phone number: 304-859-0520
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