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1851982185
SUE A GODFREY
FAIRMONT, WV
NPI
1851982185
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-01-29
Last Update Date
2021-01-29
Business Address
SUE A GODFREY
125 AVERY ST
FAIRMONT, WV 26554-2236
Phone number: 304-816-2715
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Mailing Address
SUE A GODFREY
202 LEMONT CT
FAIRMONT, WV 26554-4414
Phone number: 304-816-2715
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