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1790420016
LAKEN SISK
PRINCETON, WV
NPI
1790420016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-05-02
Last Update Date
2022-05-02
Business Address
LAKEN SISK
712 MERCER ST # D
PRINCETON, WV 24740-3114
Phone number: 304-431-2443
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Mailing Address
LAKEN SISK
176 FRENCH ST
BLUEFIELD, WV 24701-5361
Phone number:
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