REBECCA A. LAKE

CLARKSBURG, WV
NPI1972690311
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: WV  024447)
Enumeration Date2006-10-06
Last Update Date2007-07-08
Business Address
-- REBECCA A. LAKE
612 ROSEBUD PLZ
CLARKSBURG, WV 26301-9386
Phone number: 304-622-1251
Mailing Address
-- REBECCA A. LAKE
612 ROSEBUD PLZ
CLARKSBURG, WV 26301-9386
Phone number: 304-622-1251
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