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1104646017
ETTA JEAN KENDALL
ELKINS, WV
NPI
1104646017
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Former Name
ETTA JEAN SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2024-10-15
Last Update Date
2024-10-15
Business Address
ETTA JEAN KENDALL
#1 FIFTH ST
ELKINS, WV 26241
Phone number: 304-636-4747
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Mailing Address
ETTA JEAN KENDALL
PO BOX 727
ELKINS, WV 26241-0727
Phone number: 304-636-4747
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