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1992567861
LACEY MANN
FAIRMONT, WV
NPI
1992567861
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2024-01-26
Last Update Date
2024-01-26
Business Address
LACEY MANN
503 MORGANTOWN AVE STE 120
FAIRMONT, WV 26554-4384
Phone number: 304-363-7375
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Mailing Address
LACEY MANN
405 CENTER ST
SHINNSTON, WV 26431-1303
Phone number: 304-266-4113
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