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1558970616
AMANDA MONGOLD
PETERSBURG, WV
NPI
1558970616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-07-24
Last Update Date
2020-07-24
Business Address
AMANDA MONGOLD
47 DODD AVE
PETERSBURG, WV 26847-7506
Phone number: 304-851-4430
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Mailing Address
AMANDA MONGOLD
89 JENKINS RUN RD
MOOREFIELD, WV 26836-9703
Phone number: 304-851-4430
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