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1114520111
JUANITA COLEMAN
CHARLESTON, WV
NPI
1114520111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-11-20
Last Update Date
2021-04-09
Business Address
JUANITA COLEMAN
505 GRANT STREET
CHARLESTON, WV 25302
Phone number: 706-715-0207
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Mailing Address
JUANITA COLEMAN
505 GRANT STREET
CHARLESTON, WV 25302
Phone number: 706-715-0207
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