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1851902985
THERESA L HOLYFIELD
CLARKSBURG, WV
NPI
1851902985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2020-08-12
Last Update Date
2021-06-22
Business Address
THERESA L HOLYFIELD
398 DELAWARE AVE
CLARKSBURG, WV 26301-9200
Phone number: 304-291-3345
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Mailing Address
THERESA L HOLYFIELD
398 DELAWARE AVE
CLARKSBURG, WV 26301-9200
Phone number: 304-291-3345
Copy
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