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1053981555
LORAINE WISEMAN
MORGANTOWN, WV
NPI
1053981555
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-06-28
Last Update Date
2021-06-28
Business Address
LORAINE WISEMAN
304 WILLEY ST
MORGANTOWN, WV 26505-5615
Phone number: 304-292-6179
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Mailing Address
LORAINE WISEMAN
304 WILLEY ST
MORGANTOWN, WV 26505-5615
Phone number: 304-292-6179
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