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1245009083
KELISSA LASHAY LEPHEW
CRAWLEY, WV
NPI
1245009083
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2023-12-21
Last Update Date
2023-12-21
Business Address
KELISSA LASHAY LEPHEW
530 GRAY GABLES RD
CRAWLEY, WV 24931-9738
Phone number: 304-392-6270
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Mailing Address
KELISSA LASHAY LEPHEW
530 GRAY GABLES RD
CRAWLEY, WV 24931-9738
Phone number: 304-392-6270
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