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1790396109
SHANNON LEIGH BERTLES
ELKINS, WV
NPI
1790396109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-08-11
Last Update Date
2020-08-11
Business Address
SHANNON LEIGH BERTLES
7 STODDARD AVE APT D
ELKINS, WV 26241-3966
Phone number: 304-636-9326
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Mailing Address
SHANNON LEIGH BERTLES
501 WILSON LN
ELKINS, WV 26241-5216
Phone number: 304-636-9326
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