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1144996430
CRYSTAL GAYLE BLACKSHEAR
HUNTINGTON, WV
NPI
1144996430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-08-18
Last Update Date
2021-08-18
Business Address
CRYSTAL GAYLE BLACKSHEAR
1114 10TH AVE
HUNTINGTON, WV 25701-3502
Phone number: 304-521-7481
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Mailing Address
CRYSTAL GAYLE BLACKSHEAR
1114 10TH AVE
HUNTINGTON, WV 25701-3502
Phone number:
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