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1922694769
DALE LEE WHITLATCH
MOUNDSVILLE, WV
NPI
1922694769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2020-12-16
Last Update Date
2020-12-16
Business Address
DALE LEE WHITLATCH
614 ROSBY ROCK DR
MOUNDSVILLE, WV 26041-5168
Phone number: 412-215-5533
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Mailing Address
DALE LEE WHITLATCH
178 FORK RIDGE RD
MOUNDSVILLE, WV 26041-3137
Phone number: 304-843-1111
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