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1356060008
MARTY LANE SCHOONOVER
CLAY, WV
NPI
1356060008
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2022-08-25
Last Update Date
2022-08-25
Business Address
MARTY LANE SCHOONOVER
15 BANK ST
CLAY, WV 25043
Phone number: 304-587-9992
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Mailing Address
MARTY LANE SCHOONOVER
8058 CLAY HWY
BICKMORE, WV 25019-9742
Phone number: 304-587-9992
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