JUSTIN CLARK

CHARLESTON, WV
NPI1013736453
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2024-10-03
Last Update Date2024-10-03
Business Address
JUSTIN CLARK Wrap Facilitator
713 BIGLEY AVE
CHARLESTON, WV 25302-3356
Phone number: 304-746-2918
Mailing Address
JUSTIN CLARK Wrap Facilitator
713 BIGLEY AVE
CHARLESTON, WV 25302-3356
Phone number: 304-746-2918
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