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1417670936
KATLYNN QUEEN
CLARKSBURG, WV
NPI
1417670936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician Attendant Care Provider
Enumeration Date
2022-09-20
Last Update Date
2022-09-20
Business Address
KATLYNN QUEEN
5177 MAPLE ST
CLARKSBURG, WV 26301-6932
Phone number: 304-266-4493
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Mailing Address
KATLYNN QUEEN
5177 MAPLE ST
CLARKSBURG, WV 26301-6932
Phone number:
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