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1811591795
ANGELA MARIE BLACK
BUCKHANNON, WV
NPI
1811591795
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2020-11-23
Last Update Date
2020-11-23
Business Address
ANGELA MARIE BLACK
8 N SPRING ST
BUCKHANNON, WV 26201-2720
Phone number: 304-472-0395
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Mailing Address
ANGELA MARIE BLACK
8 N SPRING ST
BUCKHANNON, WV 26201-2720
Phone number: 304-472-0395
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