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1629679881
LILA MAE FRIEND
CLARKSBURG, WV
NPI
1629679881
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-11-04
Last Update Date
2020-11-04
Business Address
LILA MAE FRIEND
160 SAND ST
CLARKSBURG, WV 26301-6008
Phone number: 304-669-1356
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Mailing Address
LILA MAE FRIEND
160 SAND ST
CLARKSBURG, WV 26301-6008
Phone number: 304-669-1356
Copy
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