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1164003877
LORI WILSON
BUCKHANNON, WV
NPI
1164003877
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-04-15
Last Update Date
2021-04-15
Business Address
LORI WILSON
86 E MAIN ST
BUCKHANNON, WV 26201-2864
Phone number: 304-472-3405
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Mailing Address
LORI WILSON
86 E MAIN ST
BUCKHANNON, WV 26201-2864
Phone number:
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