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1447925706
LARISSA MACKALL
DANVILLE, WV
NPI
1447925706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-08-10
Last Update Date
2021-08-10
Business Address
LARISSA MACKALL
347 KENMORE DR STE 1A
DANVILLE, WV 25053-7083
Phone number: 304-369-0451
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Mailing Address
LARISSA MACKALL
PO BOX 247
MADISON, WV 25130-0247
Phone number: 304-369-0451
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