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1356942270
INDIA ROSE BLACKBURN
MOUNDSVILLE, WV
NPI
1356942270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-11-06
Last Update Date
2020-11-06
Business Address
INDIA ROSE BLACKBURN
87 SWIERKOS DR
MOUNDSVILLE, WV 26041-4209
Phone number: 304-843-0910
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Mailing Address
INDIA ROSE BLACKBURN
150 GRANDVIEW DR
WELLSBURG, WV 26070-2134
Phone number: 304-843-0910
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