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1275137879
SAMARA LYNETTE KING
CHARLESTON, WV
NPI
1275137879
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-11-24
Last Update Date
2020-11-24
Business Address
Mrs. SAMARA LYNETTE KING
5815 ELAINE DRIVE
CHARLESTON, WV 25306
Phone number: 304-741-5854
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Mailing Address
Mrs. SAMARA LYNETTE KING
5815 ELAINE DRIVE
CHARLESTON, WV 25306
Phone number: 304-741-5854
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