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1619583952
TINA JOHNSON
BECKLEY, WV
NPI
1619583952
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-09-22
Last Update Date
2020-09-22
Business Address
TINA JOHNSON
209 QUEEN ST
BECKLEY, WV 25801-6415
Phone number: 304-237-1323
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Mailing Address
TINA JOHNSON
209 QUEEN ST
BECKLEY, WV 25801-6415
Phone number: 304-237-1323
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