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1548861172
KELLY VANDEVANDER
ELKINS, WV
NPI
1548861172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2020-11-02
Last Update Date
2020-11-02
Business Address
KELLY VANDEVANDER
19 MAIN ST
ELKINS, WV 26241-3125
Phone number: 304-591-1834
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Mailing Address
KELLY VANDEVANDER
PO BOX 1731
ELKINS, WV 26241-1731
Phone number: 304-591-1834
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