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1811607112
SHAILEE DESMOND
CROSS LANES, WV
NPI
1811607112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-11-29
Last Update Date
2022-11-29
Business Address
SHAILEE DESMOND
5512 BIG TYLER RD
CROSS LANES, WV 25313-1304
Phone number: 304-766-9830
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Mailing Address
SHAILEE DESMOND
5512 BIG TYLER RD
CROSS LANES, WV 25313-1304
Phone number: 304-766-9830
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