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1962001537
MARIE LOUSELIA BENNETT
ELKINS, WV
NPI
1962001537
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-10-23
Last Update Date
2020-10-23
Business Address
MARIE LOUSELIA BENNETT
22 CHIEF DR
ELKINS, WV 26241-5755
Phone number: 304-704-0935
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Mailing Address
MARIE LOUSELIA BENNETT
22 CHIEF DR
ELKINS, WV 26241-5755
Phone number: 304-704-0935
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