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1235988981
AYLA ENGEBRETSON
LOGAN, WV
NPI
1235988981
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2024-05-15
Last Update Date
2024-05-15
Business Address
AYLA ENGEBRETSON
699 STRATTON ST
LOGAN, WV 25601-4020
Phone number: 304-752-6868
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Mailing Address
AYLA ENGEBRETSON
PO BOX 1346
LOGAN, WV 25601-1346
Phone number: 304-752-6868
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