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1265048425
SUSAN K TACY
ELKINS, WV
NPI
1265048425
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Former Name
SUSAN K GORDON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-09-22
Last Update Date
2020-09-22
Business Address
SUSAN K TACY
312 RAILROAD AVE
ELKINS, WV 26241-3859
Phone number: 304-637-1000
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Mailing Address
SUSAN K TACY
312 RAILROAD AVE
ELKINS, WV 26241-3859
Phone number: 304-637-1000
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