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1639748551
ELISA EIRENSTINE JOHNSON
KENOVA, WV
NPI
1639748551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-06-24
Last Update Date
2021-06-24
Business Address
ELISA EIRENSTINE JOHNSON
820 POPLAR ST
KENOVA, WV 25530-1530
Phone number: 304-453-4992
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Mailing Address
ELISA EIRENSTINE JOHNSON
820 POPLAR ST
KENOVA, WV 25530-1530
Phone number: 304-453-4992
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