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1790391233
LISA RENEE KOCH
MOUNDSVILLE, WV
NPI
1790391233
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-09-21
Last Update Date
2021-06-24
Business Address
LISA RENEE KOCH
87 SWIERKOS DR
MOUNDSVILLE, WV 26041-4209
Phone number: 304-843-2306
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Mailing Address
LISA RENEE KOCH
1062 HIGHLAND ST
FOLLANSBEE, WV 26037-1416
Phone number: 304-843-2306
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