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1902966799
LISA R ROLES
BECKLEY, WV
NPI
1902966799
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: WV 001053)
Enumeration Date
2006-12-11
Last Update Date
2007-07-08
Business Address
-- LISA R ROLES PTA
3875 ROBERT C BYRD DR
BECKLEY, WV 25801
Phone number: 304-253-1960
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Mailing Address
-- LISA R ROLES PTA
PO BOX 1324
SOPHIA, WV 25921-1324
Phone number: 304-683-9741
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