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1548876535
STACEY FREESE
MOUNDSVILLE, WV
NPI
1548876535
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-09-16
Last Update Date
2020-09-16
Business Address
STACEY FREESE
87 SWIERKOS DR
MOUNDSVILLE, WV 26041-4209
Phone number: 304-843-0910
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Mailing Address
STACEY FREESE
8 5TH ST APT 215
WHEELING, WV 26003-2576
Phone number: 304-843-0910
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