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1972101525
KIMBERLY DAWN BUTCHER
LOGAN, WV
NPI
1972101525
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2020-10-15
Last Update Date
2020-10-15
Business Address
KIMBERLY DAWN BUTCHER
428 CHESTNUT ST
LOGAN, WV 25601-3715
Phone number: 304-784-5941
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Mailing Address
KIMBERLY DAWN BUTCHER
428 CHESTNUT ST
LOGAN, WV 25601-3715
Phone number: 304-784-5941
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