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1932819828
SURREPTA MOSES
CHARLESTON, WV
NPI
1932819828
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-12-01
Last Update Date
2022-12-01
Business Address
SURREPTA MOSES
1710 PENNSYLVANIA AVE
CHARLESTON, WV 25302-3934
Phone number: 304-348-0707
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Mailing Address
SURREPTA MOSES
1710 PENNSYLVANIA AVE
CHARLESTON, WV 25302-3934
Phone number: 304-348-0707
Copy
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