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1154914075
RUTH WAGONER
CLARKSBURG, WV
NPI
1154914075
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-02-12
Last Update Date
2021-02-12
Business Address
RUTH WAGONER
88 LAYFIELD LN
CLARKSBURG, WV 26301-7123
Phone number: 304-834-9554
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Mailing Address
RUTH WAGONER
88 LAYFIELD LN
CLARKSBURG, WV 26301-7123
Phone number:
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