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1376146803
SHANNON E HOLLEY
LEWISBURG, WV
NPI
1376146803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2020-11-18
Last Update Date
2021-02-16
Business Address
SHANNON E HOLLEY
2497 JEFFERSON ST. N., SUITE 2
LEWISBURG, WV 24901
Phone number: 304-645-7420
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Mailing Address
SHANNON E HOLLEY
2947 JEFFERSON ST N STE 2
LEWISBURG, WV 24901-5719
Phone number: 304-645-7420
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