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1326775446
STACY HOSTUTLER
SALEM, WV
NPI
1326775446
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-08-08
Last Update Date
2022-08-08
Business Address
STACY HOSTUTLER
2265 W MAIN ST
SALEM, WV 26426-7615
Phone number: 304-782-2190
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Mailing Address
STACY HOSTUTLER
2265 W MAIN ST
SALEM, WV 26426-7615
Phone number: 130-478-2219
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