DALE ALLAN LONG

FAIRMONT, WV
NPI1013638204
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2022-09-07
Last Update Date2022-09-07
Business Address
DALE ALLAN LONG
53 DOE RUN RD
FAIRMONT, WV 26554-2091
Phone number: 304-612-1662
Mailing Address
DALE ALLAN LONG
53 DOE RUN RD
FAIRMONT, WV 26554-2091
Phone number: 304-612-1662
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