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1366144198
TABITHA LOGUE
DANVILLE, WV
NPI
1366144198
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2023-03-17
Last Update Date
2023-03-17
Business Address
TABITHA LOGUE
163 PRICHARD RD
DANVILLE, WV 25053-6891
Phone number: 304-369-2273
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Mailing Address
TABITHA LOGUE
163 PRICHARD RD
DANVILLE, WV 25053-6891
Phone number: 304-369-2273
Copy
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