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1932710274
TAMMY JOLENE GORDON
BUCKHANNON, WV
NPI
1932710274
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-08-11
Last Update Date
2021-06-29
Business Address
TAMMY JOLENE GORDON
249 SMITH AVE LOT 16B
BUCKHANNON, WV 26201-9663
Phone number: 304-636-9326
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Mailing Address
TAMMY JOLENE GORDON
501 WILSON LN
ELKINS, WV 26241-5216
Phone number: 304-636-9326
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