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1750985149
LISA DAWN MCCUNE
CLAY, WV
NPI
1750985149
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Former Name
LISA DAWN LEGG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-11-25
Last Update Date
2020-12-03
Business Address
LISA DAWN MCCUNE
15 BANK ST
CLAY, WV 25043
Phone number: 304-587-9992
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Mailing Address
LISA DAWN MCCUNE
2127 DIXIE HIGHWAY
DIXIE, WV 25059
Phone number: 304-632-4137
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