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1255959441
DOLLY WINE
CLARKSBURG, WV
NPI
1255959441
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-07-14
Last Update Date
2020-07-14
Business Address
DOLLY WINE
500 W MAIN ST
CLARKSBURG, WV 26301-2819
Phone number: 304-623-6795
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Mailing Address
DOLLY WINE
500 W MAIN ST
CLARKSBURG, WV 26301-2819
Phone number: 304-623-6795
Copy
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