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Connie Mae Gaston

Technician, Personal Care Attendant in Cairo, WV. Individual provider (NPI-1).

NPI number1164037867
StatusActive
Last updated in NPPESSep 10, 2020

Details

NPI
1164037867
Entity type
Individual (NPI-1)
Name
Connie Mae Gaston
Sex
Female
Sole proprietor
No
Enumeration date
Sep 10, 2020
Certification date
Sep 10, 2020
Last updated
Sep 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

956 Main St
Cairo, WV 26337-6656

Phone 304-422-5320

Mailing address

956 Main St
Cairo, WV 26337-6656

Phone 304-422-5320

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Other Personal Care Attendant providers in Cairo, WV

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