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1124738927
SALLY LANE
CLARKSBURG, WV
NPI
1124738927
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WH0200X Registered Nurse, Home Health
(Licence: WV 105293)
Enumeration Date
2022-12-02
Last Update Date
2022-12-02
Business Address
SALLY LANE
2673 DAVISSON RUN RD
CLARKSBURG, WV 26301-6838
Phone number: 681-342-3200
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Mailing Address
SALLY LANE
2673 DAVISSON RUN RD
CLARKSBURG, WV 26301-6838
Phone number:
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