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1841957479
DESIREE PROVOST
HUNTINGTON, WV
NPI
1841957479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-11-18
Last Update Date
2021-11-18
Business Address
DESIREE PROVOST
10 6TH AVE W
HUNTINGTON, WV 25701-0028
Phone number: 304-525-8014
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Mailing Address
DESIREE PROVOST
10 6TH AVE W
HUNTINGTON, WV 25701-0028
Phone number:
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