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1780288100
SAMANTHA WAITMAN EFAW
FAIRMONT, WV
NPI
1780288100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2020-11-25
Last Update Date
2020-11-25
Business Address
SAMANTHA WAITMAN EFAW
503 MORGANTOWN AVE
FAIRMONT, WV 26554-4388
Phone number: 304-363-7375
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Mailing Address
SAMANTHA WAITMAN EFAW
679 SALTLICK RD
MANNINGTON, WV 26582-7175
Phone number: 304-986-7525
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