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1114783586
ANGELA DENEISE LANE
CLAY, WV
NPI
1114783586
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2024-02-23
Last Update Date
2024-02-23
Business Address
ANGELA DENEISE LANE
172 MAIN STREET
CLAY, WV 25043-2504
Phone number: 304-587-4251
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Mailing Address
ANGELA DENEISE LANE
PO BOX 455
CLAY, WV 25043-0455
Phone number: 304-587-4251
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