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1356693600
CHANTEL LEE MCGRADY
KENNETT SQUARE, PA
NPI
1356693600
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
313M00000X Nursing Facility/Intermediate Care Facility
(Licence: WV C1791)
Enumeration Date
2012-10-11
Last Update Date
2012-10-11
Business Address
-- CHANTEL LEE MCGRADY COTA/L
101 E STATE ST
KENNETT SQUARE, PA 19348-3109
Phone number: 304-298-3602
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Mailing Address
-- CHANTEL LEE MCGRADY COTA/L
RR 1 BOX 499E
RIDGELEY, WV 26753-9762
Phone number: 304-298-3602
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