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1639788847
DESIREE BLACK
PARKERSBURG, WV
NPI
1639788847
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-07-24
Last Update Date
2020-07-24
Business Address
DESIREE BLACK
2503 BEVERLY ST APT 10C
PARKERSBURG, WV 26101-7152
Phone number: 304-893-1589
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Mailing Address
DESIREE BLACK
2503 BEVERLY ST APT 10C
PARKERSBURG, WV 26101-7152
Phone number: 304-893-1589
Copy
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