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1427644350
KACI LONGWELL
FAIRMONT, WV
NPI
1427644350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-12-15
Last Update Date
2020-12-15
Business Address
KACI LONGWELL
1000 TECHNOLOGY DR # 3110
FAIRMONT, WV 26554-8824
Phone number: 304-991-7078
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Mailing Address
KACI LONGWELL
1000 TECHNOLOGY DR # 3110
FAIRMONT, WV 26554-8824
Phone number:
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