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1386233575
TIFFANY SHOCK
MOUNT NEBO, WV
NPI
1386233575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-01-13
Last Update Date
2021-01-13
Business Address
TIFFANY SHOCK
785 SUMMERSVILLE LAKE RD
MOUNT NEBO, WV 26679-9203
Phone number: 304-883-2334
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Mailing Address
TIFFANY SHOCK
785 SUMMERSVILLE LAKE RD
MOUNT NEBO, WV 26679-9203
Phone number: 304-883-2334
Copy
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