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1366049868
KATILYN BLACK
PETERSBURG, WV
NPI
1366049868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-10-07
Last Update Date
2020-10-07
Business Address
KATILYN BLACK
111 VIRGINIA AVE
PETERSBURG, WV 26847-1713
Phone number: 304-257-1666
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Mailing Address
KATILYN BLACK
111 VIRGINIA AVE
PETERSBURG, WV 26847-1713
Phone number: 304-257-1666
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