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1831800283
AMANDA SUE BLAKE
MOUNDSVILLE, WV
NPI
1831800283
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-12-07
Last Update Date
2022-12-07
Business Address
AMANDA SUE BLAKE
334 GRANDVIEW RD
MOUNDSVILLE, WV 26041-5108
Phone number: 681-667-0397
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Mailing Address
AMANDA SUE BLAKE
334 GRANDVIEW RD
MOUNDSVILLE, WV 26041-5108
Phone number: 681-667-0397
Copy
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