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1144040106
SANDRA MARIE DERRICK
CHARLESTON, WV
NPI
1144040106
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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
SANDRA MARIE DERRICK
413 OHIO AVE
CHARLESTON, WV 25302-2214
Phone number: 304-400-5154
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Mailing Address
SANDRA MARIE DERRICK
413 OHIO AVE
CHARLESTON, WV 25302-2214
Phone number: 304-400-5154
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