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1558020917
LACEY BENNER
BARBOURSVILLE, WV
NPI
1558020917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2021-12-14
Last Update Date
2021-12-14
Business Address
LACEY BENNER
652 MAIN ST
BARBOURSVILLE, WV 25504-1439
Phone number: 304-302-0707
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Mailing Address
LACEY BENNER
652 MAIN ST
BARBOURSVILLE, WV 25504-1439
Phone number:
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