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1205419090
TAYSHANA LEE
FAIRMONT, WV
NPI
1205419090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2021-04-30
Last Update Date
2021-04-30
Business Address
TAYSHANA LEE
922 VIRGINIA AVE
FAIRMONT, WV 26554-3651
Phone number: 304-657-8748
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Mailing Address
TAYSHANA LEE
922 VIRGINIA AVE
FAIRMONT, WV 26554-3651
Phone number: 304-657-8748
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