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1407679806
LARA SMITH
PETERSBURG, WV
NPI
1407679806
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2024-11-04
Last Update Date
2024-11-04
Business Address
LARA SMITH
12 MAPLE HILL AVE STE 1
PETERSBURG, WV 26847-1547
Phone number: 204-257-9298
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Mailing Address
LARA SMITH
906 E WILKINS DR
PURGITSVILLE, WV 26852-8633
Phone number:
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