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1669083622
BRENDA THERESA ELLISON
PARKERSBURG, WV
NPI
1669083622
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-08-13
Last Update Date
2020-08-13
Business Address
BRENDA THERESA ELLISON
4421 EMERSON AVE STE 204
PARKERSBURG, WV 26104-1200
Phone number: 304-295-0890
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Mailing Address
BRENDA THERESA ELLISON
4421 EMERSON AVE STE 204
PARKERSBURG, WV 26104-1200
Phone number: 304-295-0890
Copy
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