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1568059285
OCTARRA HOLMAN
CHARLESTON, WV
NPI
1568059285
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-12-29
Last Update Date
2020-12-29
Business Address
OCTARRA HOLMAN
1204 EARLY ST
CHARLESTON, WV 25302-1021
Phone number: 304-545-2992
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Mailing Address
OCTARRA HOLMAN
1204 EARLY ST
CHARLESTON, WV 25302-1021
Phone number: 304-545-2992
Copy
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