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1043815293
KATHY WAGNER
SOUTH CHARLESTON, WV
NPI
1043815293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-12-03
Last Update Date
2020-12-03
Business Address
KATHY WAGNER
144 7TH AVE
SOUTH CHARLESTON, WV 25303-1452
Phone number: 304-744-4081
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Mailing Address
KATHY WAGNER
144 7TH AVE
SOUTH CHARLESTON, WV 25303-1452
Phone number: 304-744-4081
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