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1073734034
PAM SUE ALISSANDRATOS
TRIADELPHIA, WV
NPI
1073734034
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: WV 21366)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
Ms. PAM SUE ALISSANDRATOS lpn
RR 1 BOX 256A
TRIADELPHIA, WV 26059-9725
Phone number: 304-547-9197
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Mailing Address
Ms. PAM SUE ALISSANDRATOS lpn
RR 2 BOX 153
VALLEY GROVE, WV 26060-8929
Phone number: 304-547-1053
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