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1477265148
STASHA FADDIS
HUNTINGTON, WV
NPI
1477265148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-12-14
Last Update Date
2022-12-14
Business Address
STASHA FADDIS
555 5TH AVE STE 4
HUNTINGTON, WV 25701-1907
Phone number: 304-733-9678
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Mailing Address
STASHA FADDIS
1130 3RD AVE APT 201
HUNTINGTON, WV 25701-1540
Phone number: 304-733-9678
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