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1558087015
LISA WILSON
BECKLEY, WV
NPI
1558087015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-10-17
Last Update Date
2022-10-17
Business Address
LISA WILSON
254 GEORGE ST
BECKLEY, WV 25801-2641
Phone number: 304-255-0620
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Mailing Address
LISA WILSON
510 EDWARDS LN
BEAVER, WV 25813-8882
Phone number:
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