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1316551625
TAKISHA DAWN LONG
MOUNDSVILLE, WV
NPI
1316551625
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-09-03
Last Update Date
2020-09-03
Business Address
TAKISHA DAWN LONG
87 SWIERKOS DR
MOUNDSVILLE, WV 26041-4209
Phone number: 304-843-0910
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Mailing Address
TAKISHA DAWN LONG
220 S CHELSEA ST
SISTERSVILLE, WV 26175-1102
Phone number: 304-843-0910
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