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1467135251
DINIQUEZ MAMBO
CLARKSBURG, WV
NPI
1467135251
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2023-08-09
Last Update Date
2023-08-09
Business Address
DINIQUEZ MAMBO
445 W MAIN ST
CLARKSBURG, WV 26301-2843
Phone number: 304-842-0200
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Mailing Address
DINIQUEZ MAMBO
445 W MAIN ST
CLARKSBURG, WV 26301-2843
Phone number: 304-842-0200
Copy
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