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1144831405
STACY ROLONDA CRISP
HUNTINGTON, WV
NPI
1144831405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-08-11
Last Update Date
2021-06-23
Business Address
STACY ROLONDA CRISP
2403 ADAMS AVE
HUNTINGTON, WV 25704-1321
Phone number: 304-412-8748
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Mailing Address
STACY ROLONDA CRISP
2403 ADAMS AVE
HUNTINGTON, WV 25704-1321
Phone number: 304-412-8748
Copy
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