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1215545264
LYDIA BLEVINS
BECKLEY, WV
NPI
1215545264
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WV 001607)
Enumeration Date
2020-07-15
Last Update Date
2020-07-15
Business Address
LYDIA BLEVINS
405 STANAFORD RD
BECKLEY, WV 25801-3143
Phone number: 304-252-6317
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Mailing Address
LYDIA BLEVINS
149 MAPLEWOOD RD
LESTER, WV 25865-9580
Phone number:
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