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1679188684
LAVONNA SUE GRAHAM
BECKLEY, WV
NPI
1679188684
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: WV 76652)
Enumeration Date
2020-09-15
Last Update Date
2020-09-15
Business Address
LAVONNA SUE GRAHAM CNA
130 GEORGE ST
BECKLEY, WV 25801-2648
Phone number: 304-929-2669
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Mailing Address
LAVONNA SUE GRAHAM CNA
PO BOX 585
FAIRDALE, WV 25839-0585
Phone number: 304-894-2345
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