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1841849981
PENNY BLAKE
MILTON, WV
NPI
1841849981
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2019-09-11
Last Update Date
2019-09-11
Business Address
PENNY BLAKE
248 WOODMIRE DRIVE
MILTON, WV 25541
Phone number: 304-429-6741
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Mailing Address
PENNY BLAKE
248 WOODMIRE DRIVE
MILTON, WV 25541
Phone number: 304-429-6741
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