GRACE BLEVINS

CHARLESTON, WV
NPI1669086732
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-09-04
Last Update Date2020-09-04
Business Address
GRACE BLEVINS
3324 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Phone number: 304-766-9669
Mailing Address
GRACE BLEVINS
P.O. BOX 192
PEACH CREEK, WV 25639
Phone number: 304-946-8534
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