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1538762208
TARA JEAN LIPSCOMB
CHARLESTON, WV
NPI
1538762208
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-11-17
Last Update Date
2020-11-17
Business Address
TARA JEAN LIPSCOMB
1004 JOHN NORMAN ST
CHARLESTON, WV 25301-1258
Phone number: 304-346-4164
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Mailing Address
TARA JEAN LIPSCOMB
5088 WASHINGTON ST W
CHARLESTON, WV 25313-1536
Phone number: 681-217-2081
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