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Individual

LYNDSEY PEQUIGNOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
62669
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
62669
DEPARTMENT OF HEALTH AND HUMAN RESOURCES
Enumeration date
09/24/2018
Last updated
09/24/2018
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