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1225718190
KELLY COMPOSTELLA
KIMBERLY, WV
NPI
1225718190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-07-24
Last Update Date
2023-07-24
Business Address
KELLY COMPOSTELLA
152 ARMSTRONG CREEK RD
KIMBERLY, WV 25118-1804
Phone number: 304-719-3129
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Mailing Address
KELLY COMPOSTELLA
152 ARMSTRONG CREEK RD
KIMBERLY, WV 25118-1804
Phone number: 304-719-3129
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