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1902535586
SUSAN MOORE
CLARKSBURG, WV
NPI
1902535586
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-06-08
Last Update Date
2022-06-08
Business Address
SUSAN MOORE
500 W MAIN ST
CLARKSBURG, WV 26301-2819
Phone number: 304-623-6795
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Mailing Address
SUSAN MOORE
500 W MAIN ST
CLARKSBURG, WV 26301-2819
Phone number: 304-623-6795
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