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1013519792
JAMES DAVID ROARK
LOGAN, WV
NPI
1013519792
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2020-11-09
Last Update Date
2020-11-09
Business Address
JAMES DAVID ROARK
258 SNAP BRANCH RD
LOGAN, WV 25601-3270
Phone number: 304-896-1524
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Mailing Address
JAMES DAVID ROARK
258 SNAP BRANCH RD
LOGAN, WV 25601-3270
Phone number: 304-896-1524
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