SAMUEL GLEN HARRISON

GANDEEVILLE, WV
NPI1003428426
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-08-18
Last Update Date2020-08-18
Business Address
SAMUEL GLEN HARRISON
1034 CICERONE RD
GANDEEVILLE, WV 25243-8664
Phone number: 304-577-9145
Mailing Address
SAMUEL GLEN HARRISON
1034 CICERONE RD
GANDEEVILLE, WV 25243-8664
Phone number: 304-577-9145
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