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1558146944
SHEA THOMAS
GLENVILLE, WV
NPI
1558146944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: WV 2830)
Enumeration Date
2023-08-25
Last Update Date
2023-08-25
Business Address
SHEA THOMAS
201 FCI LN
GLENVILLE, WV 26351-9500
Phone number: 304-626-2500
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Mailing Address
SHEA THOMAS
2563 MAPLE AVE
FAYETTEVILLE, WV 25840-6825
Phone number:
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