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1548874829
ROSE ANN BLAKE
MOUNDSVILLE, WV
NPI
1548874829
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-09-03
Last Update Date
2020-09-03
Business Address
ROSE ANN BLAKE
87 SWIERKOS DR
MOUNDSVILLE, WV 26041-4209
Phone number: 304-843-0910
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Mailing Address
ROSE ANN BLAKE
101 WASHINGTON LANDS RD APT E5
MOUNDSVILLE, WV 26041-4196
Phone number: 304-843-0910
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