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1083212377
MIRANDA SHOPE
LEWISBURG, WV
NPI
1083212377
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-10-09
Last Update Date
2020-10-09
Business Address
MIRANDA SHOPE
814 MAPLE AVE.
LEWISBURG, WV 24901
Phone number: 681-318-0111
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Mailing Address
MIRANDA SHOPE
814 MAPLE AVE.
LEWISBURG, WV 24901
Phone number: 681-318-0111
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