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1194557736
SHANE VANDEVANDER
ELKINS, WV
NPI
1194557736
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2024-08-14
Last Update Date
2024-08-14
Business Address
SHANE VANDEVANDER
294 SUNNY LN
ELKINS, WV 26241-5595
Phone number: 304-621-5820
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Mailing Address
SHANE VANDEVANDER
294 SUNNY LN
ELKINS, WV 26241-5595
Phone number:
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