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1407622608
TABATHA SUE MARTIN
MAXWELTON, WV
NPI
1407622608
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: WV 32488)
Enumeration Date
2023-11-29
Last Update Date
2023-11-29
Business Address
TABATHA SUE MARTIN LPN
804 INDUSTRIAL PARK RD
MAXWELTON, WV 24957-8066
Phone number: 304-497-0500
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Mailing Address
TABATHA SUE MARTIN LPN
804 INDUSTRIAL PARK RD
MAXWELTON, WV 24957-8066
Phone number: 304-497-0500
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