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1396348454
AMANDA JO MONGOLD
PETERSBURG, WV
NPI
1396348454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2020-11-19
Last Update Date
2020-11-19
Business Address
AMANDA JO MONGOLD
342 BEVERLY DR
PETERSBURG, WV 26847-9760
Phone number: 304-703-7492
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Mailing Address
AMANDA JO MONGOLD
342 BEVERLY DR
PETERSBURG, WV 26847-9760
Phone number: 304-703-7492
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