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1184228587
ERIKA RENA LONG
BUCKHANNON, WV
NPI
1184228587
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2020-11-25
Last Update Date
2020-11-25
Business Address
ERIKA RENA LONG
8 N SPRING ST
BUCKHANNON, WV 26201-2720
Phone number: 304-472-0395
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Mailing Address
ERIKA RENA LONG
1226 LATZ RD
ELLAMORE, WV 26267
Phone number: 304-613-3221
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