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1477338374
CHRYSTAN LAQUE
BARBOURSVILLE, WV
NPI
1477338374
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2023-08-29
Last Update Date
2023-08-29
Business Address
CHRYSTAN LAQUE
652 MAIN ST
BARBOURSVILLE, WV 25504-1439
Phone number: 304-302-0707
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Mailing Address
CHRYSTAN LAQUE
652 MAIN ST
BARBOURSVILLE, WV 25504-1439
Phone number:
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