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1053988568
DEIDRA BURGESS
PRINCETON, WV
NPI
1053988568
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-06-04
Last Update Date
2021-06-04
Business Address
DEIDRA BURGESS
712 MERCER ST STE D
PRINCETON, WV 24740-3114
Phone number: 304-431-2443
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Mailing Address
DEIDRA BURGESS
310 STEELE SAWMILL RD
PRINCETON, WV 24739-5940
Phone number:
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