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1922695329
ALICE ELLIS
CHARLESTON, WV
NPI
1922695329
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-12-31
Last Update Date
2020-12-31
Business Address
ALICE ELLIS
1710 PENNSYLVANIA AVE
CHARLESTON, WV 25302-3934
Phone number: 304-348-0707
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Mailing Address
ALICE ELLIS
1710 PENNSYLVANIA AVE
CHARLESTON, WV 25302-3934
Phone number:
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