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1134841059
LACEE JO SAMPLES
CLAY, WV
NPI
1134841059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-09-16
Last Update Date
2022-09-16
Business Address
LACEE JO SAMPLES
172 MAIN STREET
CLAY, WV 25043
Phone number: 304-587-4251
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Mailing Address
LACEE JO SAMPLES
PO BOX 455
CLAY, WV 25043-0455
Phone number:
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