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1740884626
MARY AGNES BAISDEN
BUCKHANNON, WV
NPI
1740884626
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2020-11-23
Last Update Date
2020-11-23
Business Address
MARY AGNES BAISDEN
8 N SPRING ST
BUCKHANNON, WV 26201-2720
Phone number: 304-472-0395
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Mailing Address
MARY AGNES BAISDEN
1482 FRENCHTON RD
FRENCH CREEK, WV 26218-7278
Phone number: 681-495-2045
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