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1841892106
MELITTA CRYSTAL SHADE
OAK HILL, WV
NPI
1841892106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-11-12
Last Update Date
2020-11-12
Business Address
MELITTA CRYSTAL SHADE
81 BRECKEN RIDGE LN
OAK HILL, WV 25901-5653
Phone number: 304-860-9156
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Mailing Address
MELITTA CRYSTAL SHADE
PO BOX 21
SOPHIA, WV 25921-0021
Phone number: 304-860-9156
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