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1619107687
COURTNIE DANIELLE SPENCER
BRIDGEPORT, WV
NPI
1619107687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: WV WV2009-2554)
Enumeration Date
2009-07-23
Last Update Date
2009-07-23
Business Address
Mrs. COURTNIE DANIELLE SPENCER LMT
529 E MAIN ST
BRIDGEPORT, WV 26330-1824
Phone number: 304-842-4202
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Mailing Address
Mrs. COURTNIE DANIELLE SPENCER LMT
205 1/2 MILFORD ST
CLARKSBURG, WV 26301-3516
Phone number:
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