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1073104501
TRACI MOUL
BUCKHANNON, WV
NPI
1073104501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-01-28
Last Update Date
2021-06-29
Business Address
TRACI MOUL
1026 SHAWNEE DR
BUCKHANNON, WV 26201-2065
Phone number: 304-636-9326
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Mailing Address
TRACI MOUL
501 WILSON LN
ELKINS, WV 26241-5216
Phone number: 304-636-9326
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