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1790509693
VIVIAN DIANE ORTIZ
BECKLEY, WV
NPI
1790509693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2024-11-08
Last Update Date
2024-11-08
Business Address
VIVIAN DIANE ORTIZ
1614 S KANAWHA ST
BECKLEY, WV 25801-6239
Phone number: 304-255-1397
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Mailing Address
VIVIAN DIANE ORTIZ
1614 S KANAWHA ST
BECKLEY, WV 25801-6239
Phone number: 304-255-1397
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