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1770301228
SHANNON CARISSA WARD
CHARLESTON, WV
NPI
1770301228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2024-10-02
Last Update Date
2024-10-02
Business Address
SHANNON CARISSA WARD
4510 PENNSYLVANIA AVE STE C
CHARLESTON, WV 25302-4835
Phone number: 304-965-9081
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Mailing Address
SHANNON CARISSA WARD
5439 ELK RIVER RD N
ELKVIEW, WV 25071-9737
Phone number: 304-384-1599
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