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1033947197
AMANDA NICOLE FORD
CHARLESTON, WV
NPI
1033947197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2024-07-22
Last Update Date
2024-07-22
Business Address
AMANDA NICOLE FORD
701 GARVIN AVE
CHARLESTON, WV 25302-2500
Phone number: 304-552-3049
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Mailing Address
AMANDA NICOLE FORD
701 GARVIN AVE
CHARLESTON, WV 25302-2500
Phone number: 304-552-3049
Copy
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