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1114649506
ROBERT RUSSELL WHITE
CRAIGSVILLE, WV
NPI
1114649506
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2022-09-13
Last Update Date
2022-09-13
Business Address
ROBERT RUSSELL WHITE
18566 WEBSTER ROAD
CRAIGSVILLE, WV 26205
Phone number: 304-256-0444
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Mailing Address
ROBERT RUSSELL WHITE
250 GEORGE ST
BECKLEY, WV 25801-2641
Phone number: 304-256-0444
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