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1174110647
PHYLLIS MOORE
FAIRMONT, WV
NPI
1174110647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-12-30
Last Update Date
2020-12-30
Business Address
PHYLLIS MOORE
204 HOWARD ST
FAIRMONT, WV 26554-3146
Phone number: 304-366-4750
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Mailing Address
PHYLLIS MOORE
204 HOWARD ST
FAIRMONT, WV 26554-3146
Phone number:
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