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1679243760
MARA HISSOM
SOUTH CHARLESTON, WV
NPI
1679243760
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2021-09-20
Last Update Date
2021-09-20
Business Address
MARA HISSOM
144 7TH AVE
SOUTH CHARLESTON, WV 25303-1452
Phone number: 304-744-4081
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Mailing Address
MARA HISSOM
144 7TH AVE
SOUTH CHARLESTON, WV 25303-1452
Phone number: 304-744-4081
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