LEROY DEHART

LOGAN, WV
NPI1134994932
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
Enumeration Date2023-11-21
Last Update Date2023-11-21
Business Address
LEROY DEHART
699 STRATTON ST
LOGAN, WV 25601-4020
Phone number: 304-752-6868
Mailing Address
LEROY DEHART
PO BOX 1346
LOGAN, WV 25601-1346
Phone number: 304-752-6868
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