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1083210579
SANDRA MARIA BASSETT
MIDDLEBOURNE, WV
NPI
1083210579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2020-12-09
Last Update Date
2020-12-09
Business Address
SANDRA MARIA BASSETT
504 CHERRY ST
MIDDLEBOURNE, WV 26149-9618
Phone number: 304-758-4919
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Mailing Address
SANDRA MARIA BASSETT
PO BOX 68
MIDDLEBOURNE, WV 26149-0068
Phone number: 304-758-4919
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