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1225894678
EDGAR LEE JOHNSON
MORGANTOWN, WV
NPI
1225894678
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2024-02-23
Last Update Date
2024-02-23
Business Address
EDGAR LEE JOHNSON
62 SAINT CLAIRS VLG
MORGANTOWN, WV 26505-2592
Phone number: 304-996-2852
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Mailing Address
EDGAR LEE JOHNSON
62 SAINT CLAIRS VLG
MORGANTOWN, WV 26505-2592
Phone number: 304-996-2852
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