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1720688096
FLORA RUNYON
LOGAN, WV
NPI
1720688096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2020-10-27
Last Update Date
2020-10-27
Business Address
FLORA RUNYON
710 UNIVERSITY AVE
LOGAN, WV 25601-3475
Phone number: 304-946-3870
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Mailing Address
FLORA RUNYON
710 UNIVERSITY AVE
LOGAN, WV 25601-3475
Phone number: 304-946-3870
Copy
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