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1639844715
ROBERTA JO LIGHTCAP
MORGANTOWN, WV
NPI
1639844715
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-08-11
Last Update Date
2021-08-11
Business Address
ROBERTA JO LIGHTCAP
1912 LISTRAVIA AVE
MORGANTOWN, WV 26505-6320
Phone number: 304-694-2201
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Mailing Address
ROBERTA JO LIGHTCAP
1912 LISTRAVIA AVE
MORGANTOWN, WV 26505-6320
Phone number: 304-694-2201
Copy
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