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1649004797
DESIRAE LEWIS
PRINCETON, WV
NPI
1649004797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2024-08-30
Last Update Date
2024-08-30
Business Address
DESIRAE LEWIS
712 MERCER ST STE D
PRINCETON, WV 24740-3114
Phone number: 304-431-2443
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Mailing Address
DESIRAE LEWIS
3700 INGLESIDE RD
BLUEFIELD, WV 24701-5502
Phone number:
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