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1932858420
LEXTON MOSS
SOUTH CHARLESTON, WV
NPI
1932858420
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-03-22
Last Update Date
2022-03-24
Business Address
LEXTON MOSS
911 MONTROSE DR
SOUTH CHARLESTON, WV 25303-2627
Phone number: 304-546-1041
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Mailing Address
LEXTON MOSS
911 MONTROSE DR
SOUTH CHARLESTON, WV 25303-2627
Phone number: 304-546-1041
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