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1033724430
CRYSTAL DAWN RUNYON
LOGAN, WV
NPI
1033724430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-09-11
Last Update Date
2021-06-23
Business Address
CRYSTAL DAWN RUNYON
64 TOM STEELE HOLLOW RD
LOGAN, WV 25601-7101
Phone number: 304-928-2138
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Mailing Address
CRYSTAL DAWN RUNYON
64 TOM STEELE HOLLOW RD
LOGAN, WV 25601-7101
Phone number: 304-928-2138
Copy
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