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1720605512
PHYLLIS NICKELL
MAXWELTON, WV
NPI
1720605512
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
373H00000X Day Training/Habilitation Specialist
Enumeration Date
2020-06-29
Last Update Date
2020-06-29
Business Address
PHYLLIS NICKELL
804 INDUSTRIAL PARK RD
MAXWELTON, WV 24957-8066
Phone number: 304-497-0500
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Mailing Address
PHYLLIS NICKELL
804 INDUSTRIAL PARK RD
MAXWELTON, WV 24957-8066
Phone number: 304-497-0500
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