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1073119913
CAROL JEAN WALLS
NEW MARTINSVILLE, WV
NPI
1073119913
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-12-07
Last Update Date
2020-12-07
Business Address
CAROL JEAN WALLS
307 N MAIN ST
NEW MARTINSVILLE, WV 26155-1215
Phone number: 304-815-4952
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Mailing Address
CAROL JEAN WALLS
307 N MAIN ST
NEW MARTINSVILLE, WV 26155-1215
Phone number: 304-815-4952
Copy
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