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1407621204
LYDIA HENSLEY
LOGAN, WV
NPI
1407621204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2023-11-21
Last Update Date
2023-11-21
Business Address
LYDIA HENSLEY
699 STRATTON ST
LOGAN, WV 25601-4020
Phone number: 304-752-6868
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Mailing Address
LYDIA HENSLEY
PO BOX 1346
LOGAN, WV 25601-1346
Phone number: 304-752-6868
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