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CHARLESTON, WV
NPI1265129423
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2023-04-19
Last Update Date2023-04-19
Business Address
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1599 2ND AVE
CHARLESTON, WV 25387-2514
Phone number: 304-453-4663
Mailing Address
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PO BOX 20112
CHARLESTON, WV 25362-1112
Phone number: 304-453-4663
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