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1710595558
SHANNON DAUGHERTY
PARKERSBURG, WV
NPI
1710595558
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-07-17
Last Update Date
2020-07-17
Business Address
SHANNON DAUGHERTY
2601 UNITY PL
PARKERSBURG, WV 26101-7169
Phone number: 304-488-2618
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Mailing Address
SHANNON DAUGHERTY
3508 NORTHWESTERN DR
PARKERSBURG, WV 26104-8062
Phone number: 304-488-2816
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