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1508458761
KELLY WALLS
SOUTH CHARLESTON, WV
NPI
1508458761
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-02-09
Last Update Date
2022-09-21
Business Address
KELLY WALLS
325 4TH AVE STE 1
SOUTH CHARLESTON, WV 25303-1266
Phone number: 304-744-4940
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Mailing Address
KELLY WALLS
325 4TH AVE STE 1
SOUTH CHARLESTON, WV 25303-1266
Phone number: 304-744-4940
Copy
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