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1770184103
DESTINY LEE BURGESS
ELKINS, WV
NPI
1770184103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-11-03
Last Update Date
2020-11-03
Business Address
DESTINY LEE BURGESS
1408 HARRISON AVE
ELKINS, WV 26241-3325
Phone number: 304-636-4390
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Mailing Address
DESTINY LEE BURGESS
229 BLACK MAPLE RDG
MAYSVILLE, WV 26833-8727
Phone number: 304-851-6968
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