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1417563420
MARY JOHNSON
SALEM, WV
NPI
1417563420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-09-16
Last Update Date
2020-09-16
Business Address
MARY JOHNSON
195 W MAIN ST
SALEM, WV 26426-1229
Phone number: 304-782-2190
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Mailing Address
MARY JOHNSON
PO BOX 188
SALEM, WV 26426-0188
Phone number:
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