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Laura Marie Colegrove

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

NPI number1164098414
StatusActive
Last updated in NPPESMay 27, 2021

Details

NPI
1164098414
Entity type
Individual (NPI-1)
Name
Laura Marie Colegrove
Sex
Female
Sole proprietor
No
Enumeration date
May 27, 2021
Certification date
May 19, 2021
Last updated
May 27, 2021

Taxonomy and licenses

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

Practice location

4329 Hughes Branch Rd
Huntington, WV 25701-9768

Phone 304-733-1094

Mailing address

110 Pleasant St.
Whitman, WV 25652

Phone 304-896-8328

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