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1952986960
AMANDA LOUISE DRAKE
FAIRMONT, WV
NPI
1952986960
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-03-11
Last Update Date
2021-03-11
Business Address
AMANDA LOUISE DRAKE
10 MOUNTAIN PARK DR
FAIRMONT, WV 26554-8992
Phone number: 394-816-3687
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Mailing Address
AMANDA LOUISE DRAKE
10 MOUNTAIN PARK DR
FAIRMONT, WV 26554-8992
Phone number: 394-816-3687
Copy
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