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1093458010
JERRY ROY BUZZARD
SOUTH CHARLESTON, WV
NPI
1093458010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2022-04-18
Last Update Date
2022-04-18
Business Address
JERRY ROY BUZZARD
332 6TH AVE
SOUTH CHARLESTON, WV 25303-1269
Phone number: 304-757-9333
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Mailing Address
JERRY ROY BUZZARD
332 6TH AVE
SOUTH CHARLESTON, WV 25303-1269
Phone number: 304-757-9333
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