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1174273981
STACEY JOHN
HUNTINGTON, WV
NPI
1174273981
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-03-25
Last Update Date
2022-03-25
Business Address
STACEY JOHN
410 31ST ST
HUNTINGTON, WV 25702-1420
Phone number: 681-888-5852
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Mailing Address
STACEY JOHN
410 31ST ST
HUNTINGTON, WV 25702-1420
Phone number:
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