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1659968253
DEIDRA COX
FAIRMONT, WV
NPI
1659968253
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-12-29
Last Update Date
2020-12-29
Business Address
DEIDRA COX
10 MOUNTAIN PARK DR
FAIRMONT, WV 26554-8992
Phone number: 304-816-3687
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Mailing Address
DEIDRA COX
10 MOUNTAIN PARK DR
FAIRMONT, WV 26554-8992
Phone number: 304-816-3687
Copy
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