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1679171292
ANDREA SHANNON
BECKLEY, WV
NPI
1679171292
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-10-15
Last Update Date
2020-10-15
Business Address
ANDREA SHANNON
111 9TH ST
BECKLEY, WV 25801-3956
Phone number: 681-368-4845
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Mailing Address
ANDREA SHANNON
111 9TH ST
BECKLEY, WV 25801-3956
Phone number: 681-368-4845
Copy
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