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1104585967
VICKEY J LONGWELL
NEW MARTINSVILLE, WV
NPI
1104585967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-12-09
Last Update Date
2021-12-09
Business Address
VICKEY J LONGWELL
145 PADUCAH DR
NEW MARTINSVILLE, WV 26155-2709
Phone number: 304-455-3220
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Mailing Address
VICKEY J LONGWELL
145 PADUCAH DR
NEW MARTINSVILLE, WV 26155-2709
Phone number: 304-455-3220
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