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1255916326
CRYSTAL SHAW
CLARKSBURG, WV
NPI
1255916326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-03-10
Last Update Date
2021-03-10
Business Address
CRYSTAL SHAW
314 OCONNOR ST
CLARKSBURG, WV 26301-2227
Phone number: 304-695-3139
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Mailing Address
CRYSTAL SHAW
RT 3 BOX 305
CLARKSBURG, WV 26301
Phone number:
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