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1548931629
AUTUMN DEVERICKS
BUCKHANNON, WV
NPI
1548931629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2021-09-28
Last Update Date
2021-09-28
Business Address
AUTUMN DEVERICKS
12 HINKLE DR
BUCKHANNON, WV 26201-2418
Phone number: 304-470-7332
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Mailing Address
AUTUMN DEVERICKS
501 WILSON LN
ELKINS, WV 26241-5216
Phone number: 304-636-9326
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