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1912518267
SHAWN DOUGLASS
MORGANTOWN, WV
NPI
1912518267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-08-11
Last Update Date
2021-06-29
Business Address
SHAWN DOUGLASS
1097 GREENBAG RD
MORGANTOWN, WV 26508-1532
Phone number: 304-291-9066
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Mailing Address
SHAWN DOUGLASS
70 KINGWOOD ST
MORGANTOWN, WV 26501-6054
Phone number:
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