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1386231090
BRENDA VANDERGRIFT
FAIRMONT, WV
NPI
1386231090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2020-12-29
Last Update Date
2020-12-29
Business Address
BRENDA VANDERGRIFT
10 MOUNTAIN PARK DR
FAIRMONT, WV 26554-8992
Phone number: 304-816-3687
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Mailing Address
BRENDA VANDERGRIFT
10 MOUNTAIN PARK DR
FAIRMONT, WV 26554-8992
Phone number: 304-816-3687
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