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1194390054
TARA RENA WATTS
HUNTINGTON, WV
NPI
1194390054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-05-24
Last Update Date
2021-05-24
Business Address
TARA RENA WATTS
4329 HUGHES BRANCH RD
HUNTINGTON, WV 25701-9768
Phone number: 304-733-1094
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Mailing Address
TARA RENA WATTS
50 PINE ST
LOGAN, WV 25601-4034
Phone number: 304-542-9178
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