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1336895879
RAVEN B HIGGINS
FAIRMONT, WV
NPI
1336895879
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
(Licence: WV F992663)
Enumeration Date
2022-02-23
Last Update Date
2022-02-23
Business Address
RAVEN B HIGGINS
16 MOUNTAIN PARK DR
FAIRMONT, WV 26554-8992
Phone number: 304-816-3687
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Mailing Address
RAVEN B HIGGINS
16 MOUNTAIN PARK DR
FAIRMONT, WV 26554-8992
Phone number: 304-816-3687
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