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1972333193
LOLA LYNN WOOTEN
DINGESS, WV
NPI
1972333193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2024-08-02
Last Update Date
2024-08-02
Business Address
LOLA LYNN WOOTEN
3310 MOSES FORK MTN
DINGESS, WV 25671
Phone number: 304-733-1094
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Mailing Address
LOLA LYNN WOOTEN
3310 MOSES FORK MTN
DINGESS, WV 25671
Phone number:
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