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1013594928
IVY LANDIS
BUCKHANNON, WV
NPI
1013594928
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-03-26
Last Update Date
2021-03-26
Business Address
IVY LANDIS
837 CHILDERS RUN RD
BUCKHANNON, WV 26201-9658
Phone number: 304-997-3608
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Mailing Address
IVY LANDIS
837 CHILDERS RUN RD
BUCKHANNON, WV 26201-9658
Phone number: 304-997-3608
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