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1477145100
SHAWN SITES
PETERSBURG, WV
NPI
1477145100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-02-04
Last Update Date
2021-02-04
Business Address
SHAWN SITES
1806 WELTON ORCHARD RD
PETERSBURG, WV 26847-9635
Phone number: 304-703-1042
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Mailing Address
SHAWN SITES
1806 WELTON ORCHARD RD
PETERSBURG, WV 26847-9635
Phone number: 304-703-1042
Copy
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