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1366163545
TAMMY FOD
PETERSBURG, WV
NPI
1366163545
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-09-07
Last Update Date
2022-09-07
Business Address
TAMMY FOD
12 MAPLE HILL AVE STE 1
PETERSBURG, WV 26847-1547
Phone number: 304-703-5581
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Mailing Address
TAMMY FOD
127 N MAIN ST APT 7
MOOREFIELD, WV 26836-1187
Phone number: 304-257-9298
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