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1154031953
BRYAN WANLESS
ELKINS, WV
NPI
1154031953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-12-02
Last Update Date
2022-12-02
Business Address
BRYAN WANLESS
608 MAPLE ST
ELKINS, WV 26241-3329
Phone number: 304-642-9827
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Mailing Address
BRYAN WANLESS
501 WILSON LN
ELKINS, WV 26241-5216
Phone number: 304-636-9326
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