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1245973312
ACACIA ROSE HIGGINBOTHAM
FAIRMONT, WV
NPI
1245973312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2022-04-18
Last Update Date
2022-04-18
Business Address
ACACIA ROSE HIGGINBOTHAM
16 MOUNTAIN PARK DR
FAIRMONT, WV 26554-8992
Phone number: 304-816-3687
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Mailing Address
ACACIA ROSE HIGGINBOTHAM
16 MOUNTAIN PARK DR
FAIRMONT, WV 26554-8992
Phone number: 304-816-3687
Copy
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