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Individual

ANGELE HARLESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5418 1/2 ST. RT. 10, SALT ROCK, WV 25559
(304) 539-8328
Mailing address
5418 1/2 ST. RT. 10, SALT ROCK, WV 25559
(304) 539-8328

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
02/16/2022
Last updated
02/16/2022
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