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1437760618
EVELYN DIANA WALLO
SHINNSTON, WV
NPI
1437760618
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-08-12
Last Update Date
2021-06-23
Business Address
EVELYN DIANA WALLO
598 S PIKE ST
SHINNSTON, WV 26431-1128
Phone number: 304-291-3455
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Mailing Address
EVELYN DIANA WALLO
598 S PIKE ST
SHINNSTON, WV 26431-1128
Phone number: 304-291-3455
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