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1720684715
TONYA LAKE
SUTTON, WV
NPI
1720684715
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2020-12-07
Last Update Date
2020-12-07
Business Address
TONYA LAKE
101 2ND ST STE 201
SUTTON, WV 26601-1303
Phone number: 304-765-3668
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Mailing Address
TONYA LAKE
3334 DUSK CAMP RUN RD
SAND FORK, WV 26430-8107
Phone number: 304-462-8165
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