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1417677782
LORRAINE EAGLE
CLARKSBURG, WV
NPI
1417677782
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-08-29
Last Update Date
2022-08-29
Business Address
LORRAINE EAGLE
168 W MAIN ST APT 205
CLARKSBURG, WV 26301-2996
Phone number: 304-203-5652
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Mailing Address
LORRAINE EAGLE
168 W MAIN ST APT 205
CLARKSBURG, WV 26301-2996
Phone number: 304-203-5652
Copy
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