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1023742889
RICKY LEE MARTIN
ELKINS, WV
NPI
1023742889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-07-15
Last Update Date
2022-07-15
Business Address
RICKY LEE MARTIN
#1 FIFTH STREET
ELKINS, WV 26241
Phone number: 304-636-4747
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Mailing Address
RICKY LEE MARTIN
PO BOX 727
ELKINS, WV 26241-0727
Phone number: 304-636-4747
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