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1013795061
DATHAN STRAUGHTER
SOUTH CHARLESTON, WV
NPI
1013795061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2023-09-20
Last Update Date
2023-09-20
Business Address
DATHAN STRAUGHTER
325 4TH AVE STE 1
SOUTH CHARLESTON, WV 25303-1266
Phone number: 304-744-4940
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Mailing Address
DATHAN STRAUGHTER
325 4TH AVE STE 1
SOUTH CHARLESTON, WV 25303-1266
Phone number: 304-744-4940
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