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1407694102
CHARLA DAWN BLOSSER
CORE, WV
NPI
1407694102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2024-07-17
Last Update Date
2024-07-17
Business Address
CHARLA DAWN BLOSSER
170 MERLE YOST RD
CORE, WV 26541-6918
Phone number: 304-278-7069
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Mailing Address
CHARLA DAWN BLOSSER
170 MERLE YOST RD
CORE, WV 26541-6918
Phone number: 304-278-7069
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