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1073393450
KELLI VILLAGOMEZ
BUCKHANNON, WV
NPI
1073393450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2023-10-03
Last Update Date
2023-10-03
Business Address
KELLI VILLAGOMEZ
43 1/2 CLEVELAND AVE
BUCKHANNON, WV 26201-2801
Phone number: 681-367-4233
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Mailing Address
KELLI VILLAGOMEZ
501 WILSON LN
ELKINS, WV 26241-5216
Phone number: 304-636-9326
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