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1861007544
STACEY REXRODE
CRAIGSVILLE, WV
NPI
1861007544
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-09-10
Last Update Date
2020-09-10
Business Address
STACEY REXRODE
72 SAWYER ST
CRAIGSVILLE, WV 26205-8854
Phone number: 304-636-9326
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Mailing Address
STACEY REXRODE
501 WILSON LN
ELKINS, WV 26241-5216
Phone number: 304-636-9326
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