KRISTY IRENE BANTA

MIDDLEBOURNE, WV
NPI1437820552
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy376J00000X Homemaker
Enumeration Date2021-09-28
Last Update Date2021-09-28
Business Address
KRISTY IRENE BANTA
504 CHERRY ST
MIDDLEBOURNE, WV 26149-9618
Phone number: 304-758-4919
Mailing Address
KRISTY IRENE BANTA
PO BOX 68
MIDDLEBOURNE, WV 26149-0068
Phone number: 304-758-4919
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