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1073253498
TINA ELISA WHITE
FAIRMONT, WV
NPI
1073253498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-04-01
Last Update Date
2022-04-01
Business Address
TINA ELISA WHITE
142 CHESTNUT ST
FAIRMONT, WV 26554-2906
Phone number: 714-308-3786
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Mailing Address
TINA ELISA WHITE
142 CHESTNUT ST
FAIRMONT, WV 26554-2906
Phone number: 714-308-3786
Copy
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