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1114635109
JONATHAN MARTIN
BECKLEY, WV
NPI
1114635109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-11-09
Last Update Date
2022-11-09
Business Address
JONATHAN MARTIN
130 GEORGE ST STE J
BECKLEY, WV 25801-2648
Phone number: 304-929-2670
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Mailing Address
JONATHAN MARTIN
130 GEORGE ST STE J
BECKLEY, WV 25801-2648
Phone number: 304-929-2670
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