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1982478574
LORA GRAVELY
SOUTH CHARLESTON, WV
NPI
1982478574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2023-11-14
Last Update Date
2023-11-14
Business Address
LORA GRAVELY
325 4TH AVE
SOUTH CHARLESTON, WV 25303-1266
Phone number: 304-744-4940
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Mailing Address
LORA GRAVELY
325 4TH AVE
SOUTH CHARLESTON, WV 25303-1266
Phone number: 304-744-4940
Copy
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