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1104447176
JUSTIN ADDICKS
HUNTINGTON, WV
NPI
1104447176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-05-01
Last Update Date
2020-05-01
Business Address
JUSTIN ADDICKS
1249 15TH ST STE 200
HUNTINGTON, WV 25701-3662
Phone number: 304-691-1000
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Mailing Address
JUSTIN ADDICKS
1249 15TH ST STE 200
HUNTINGTON, WV 25701-3662
Phone number: 304-691-1000
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