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1750980793
HATTIE D FRYE
LOGAN, WV
NPI
1750980793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2020-10-21
Last Update Date
2020-10-21
Business Address
HATTIE D FRYE
19 OLYMPIC CIR
LOGAN, WV 25601-1130
Phone number: 304-239-2292
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Mailing Address
HATTIE D FRYE
19 OLYMPIC CIR
LOGAN, WV 25601-1130
Phone number: 304-239-2292
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