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1760081996
KIRSTAN BERNICE CLARK
DANVILLE, WV
NPI
1760081996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-10-19
Last Update Date
2020-10-19
Business Address
KIRSTAN BERNICE CLARK
163 PRICHARD RD
DANVILLE, WV 25053-6891
Phone number: 304-369-2274
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Mailing Address
KIRSTAN BERNICE CLARK
163 PRICHARD RD
DANVILLE, WV 25053-6891
Phone number: 304-369-2274
Copy
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