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1942654066
LAUREN MCKISSICK
MORGANTOWN, WV
NPI
1942654066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: WV C2064)
Enumeration Date
2016-04-14
Last Update Date
2016-04-14
Business Address
LAUREN MCKISSICK
161 BAKERS RIDGE RD
MORGANTOWN, WV 26508-1459
Phone number: 304-285-0692
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Mailing Address
LAUREN MCKISSICK
161 BAKERS RIDGE ROAD
MORGANTOWN, WV 26508
Phone number: 304-285-0692
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