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Individual

NANCY JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5762 DEEPWATER MTN RD, FAYETTEVILLE, WV 25840-5873
(304) 663-2197
Mailing address
PO BOX 198, KINCAID, WV 25119-0198

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
08/12/2020
Last updated
08/12/2020
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