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1306526082
LARISSA TENNEY
BUCKHANNON, WV
NPI
1306526082
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2023-07-19
Last Update Date
2023-07-19
Business Address
LARISSA TENNEY
129 BARBOUR ST
BUCKHANNON, WV 26201-2550
Phone number: 304-516-8074
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Mailing Address
LARISSA TENNEY
501 WILSON LN
ELKINS, WV 26241-5216
Phone number: 304-636-9326
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