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1780316331
STACY LYNN COSTLOW
WHEELING, WV
NPI
1780316331
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-06-30
Last Update Date
2022-06-30
Business Address
STACY LYNN COSTLOW
30 37TH ST UNIT 310
WHEELING, WV 26003-4309
Phone number: 740-257-9339
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Mailing Address
STACY LYNN COSTLOW
30 37TH ST UNIT 310
WHEELING, WV 26003-4309
Phone number: 740-257-9339
Copy
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