HOLLI SANSOM

LOGAN, WV
NPI1942977939
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WS0200X Registered Nurse, School
(Licence: WV  92005)
Enumeration Date2021-08-26
Last Update Date2021-08-26
Business Address
HOLLI SANSOM
506 HOLLY AVE
LOGAN, WV 25601-3306
Phone number: 304-752-1550
Mailing Address
HOLLI SANSOM
PO BOX 388
LORADO, WV 25630-0388
Phone number:
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