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1053912113
SANDRA MALLOW
ELKINS, WV
NPI
1053912113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-11-05
Last Update Date
2020-11-05
Business Address
SANDRA MALLOW
1408 HARRISON AVE
ELKINS, WV 26241-3325
Phone number: 304-636-4390
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Mailing Address
SANDRA MALLOW
39 YELLOW HOUSE LN
ELKINS, WV 26241-7078
Phone number: 304-591-2330
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