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1083225551
MELISSA A JOHNSON
KENOVA, WV
NPI
1083225551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2020-08-10
Last Update Date
2020-08-10
Business Address
MELISSA A JOHNSON
820 POPLAR ST
KENOVA, WV 25530-1530
Phone number: 304-453-4992
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Mailing Address
MELISSA A JOHNSON
820 POPLAR ST
KENOVA, WV 25530-1530
Phone number:
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