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1336873926
SHASTA D HAYHURST
SALEM, WV
NPI
1336873926
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-07-11
Last Update Date
2022-07-11
Business Address
SHASTA D HAYHURST
2265 W MAIN ST
SALEM, WV 26426-7615
Phone number: 304-782-2190
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Mailing Address
SHASTA D HAYHURST
PO BOX 188
SALEM, WV 26426-0188
Phone number: 304-782-2190
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