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1760130892
SHIRLEY K FITZWATER
SUMMERSVILLE, WV
NPI
1760130892
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2022-03-17
Last Update Date
2022-03-17
Business Address
SHIRLEY K FITZWATER
1205 BROAD ST
SUMMERSVILLE, WV 26651-1805
Phone number: 304-872-1162
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Mailing Address
SHIRLEY K FITZWATER
1205 BROAD ST
SUMMERSVILLE, WV 26651-1805
Phone number:
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