LIONEL WENDELL BOURNE

FAIRMONT, WV
NPI1326815978
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2023-12-05
Last Update Date2023-12-05
Business Address
LIONEL WENDELL BOURNE
1745 FAIRMONT AVE
FAIRMONT, WV 26554-2051
Phone number: 304-677-7259
Mailing Address
LIONEL WENDELL BOURNE
1745 FAIRMONT AVE
FAIRMONT, WV 26554-2051
Phone number: 304-677-7259
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