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1790379170
DEANNA BUSTILLOZ
MORGANTOWN, WV
NPI
1790379170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-02-25
Last Update Date
2021-02-25
Business Address
DEANNA BUSTILLOZ
14 TWIN PINES VLG
MORGANTOWN, WV 26508-6250
Phone number: 304-680-2526
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Mailing Address
DEANNA BUSTILLOZ
14 TWIN PINES VLG
MORGANTOWN, WV 26508-6250
Phone number: 304-680-2526
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