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1104692409
JASON EDWARD CANTERBURY
SAINT ALBANS, WV
NPI
1104692409
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: WV 23-9219)
Enumeration Date
2023-11-28
Last Update Date
2023-11-28
Business Address
JASON EDWARD CANTERBURY PRSS
2333 MACCORKLE AVE STE 201
SAINT ALBANS, WV 25177-2074
Phone number: 304-766-0060
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Mailing Address
JASON EDWARD CANTERBURY PRSS
2333 MACCORKLE AVE STE 201
SAINT ALBANS, WV 25177-2074
Phone number: 304-766-0060
Copy
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