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1306452610
STACY RENE LANE
CRAIGSVILLE, WV
NPI
1306452610
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-09-22
Last Update Date
2021-08-18
Business Address
STACY RENE LANE
95 PONDEROSA DR
CRAIGSVILLE, WV 26205-8930
Phone number: 304-651-9007
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Mailing Address
STACY RENE LANE
95 PONDEROSA DR
CRAIGSVILLE, WV 26205-8930
Phone number: 304-651-9007
Copy
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