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Individual
LAUREEN SMITH
Active
Individual
LAUREEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255523494
—
WV
05
—
1356607394
—
WV
05
—
1821206288
—
WV
Enumeration date
09/10/2020
Last updated
10/21/2020
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