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1679200323
TRESA LEE LANE
SHINNSTON, WV
NPI
1679200323
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2022-08-03
Last Update Date
2022-08-03
Business Address
TRESA LEE LANE
1070 OVERBURDEN ST
SHINNSTON, WV 26431
Phone number: 304-592-5020
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Mailing Address
TRESA LEE LANE
1070 OVERBURDEN ST
SHINNSTON, WV 26431
Phone number: 304-592-5020
Copy
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