RUSSEL MAIN

MORGANTOWN, WV
NPI1104410711
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2021-02-24
Last Update Date2021-02-24
Business Address
RUSSEL MAIN
780 ALPINE ST
MORGANTOWN, WV 26505-2532
Phone number: 304-692-6798
Mailing Address
RUSSEL MAIN
780 ALPINE ST
MORGANTOWN, WV 26505-2532
Phone number: 304-692-6798
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