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1124613641
SAMUEL BEVINS
QUINWOOD, WV
NPI
1124613641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-03-05
Last Update Date
2021-03-05
Business Address
SAMUEL BEVINS
159 PRICE ST
QUINWOOD, WV 25981
Phone number: 304-667-3364
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Mailing Address
SAMUEL BEVINS
159 PRICE ST
QUINWOOD, WV 25981
Phone number:
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