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1164037560
LISA MARIE GASSNOLA
ELKINS, WV
NPI
1164037560
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Former Name
LISA MARIE MALLOW
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-09-11
Last Update Date
2020-09-11
Business Address
LISA MARIE GASSNOLA
#1 FIFTH STREET
ELKINS, WV 26241
Phone number: 304-636-4747
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Mailing Address
LISA MARIE GASSNOLA
PO BOX 727
ELKINS, WV 26241-0727
Phone number: 304-636-4747
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