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1104432541
LATEAYAH DAVIS
SOUTH CHARLESTON, WV
NPI
1104432541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2020-09-21
Last Update Date
2022-05-09
Business Address
LATEAYAH DAVIS
4989 COLONIAL PARK DR
SOUTH CHARLESTON, WV 25309-2043
Phone number: 304-610-8929
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Mailing Address
LATEAYAH DAVIS
4989 COLONIAL PARK DR
SOUTH CHARLESTON, WV 25309-2043
Phone number: 304-610-8929
Copy
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