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1942814009
TAMMY BURGESS
CHARLESTON, WV
NPI
1942814009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-09-04
Last Update Date
2020-09-04
Business Address
TAMMY BURGESS
3324 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Phone number: 304-766-9669
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Mailing Address
TAMMY BURGESS
648 WHISPERING PINE COVE
ELKVIEW, WV 25071
Phone number: 304-373-7575
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