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1619705985
EDGAR LEE JOHNSON
MORGANTOWN, WV
NPI
1619705985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2024-07-26
Last Update Date
2024-07-26
Business Address
EDGAR LEE JOHNSON
104 AGRONOMY FARM RD
MORGANTOWN, WV 26508-4111
Phone number: 304-996-3962
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Mailing Address
EDGAR LEE JOHNSON
104 AGRONOMY FARM RD
MORGANTOWN, WV 26508-4111
Phone number: 304-996-3962
Copy
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