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1154053957
DAVID ALAN WOODALL
LOGAN, WV
NPI
1154053957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2022-06-29
Last Update Date
2022-06-29
Business Address
DAVID ALAN WOODALL
218 YUMA CAMP RD
LOGAN, WV 25601-9589
Phone number: 304-733-1094
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Mailing Address
DAVID ALAN WOODALL
218 YUMA CAMP RD
LOGAN, WV 25601-9589
Phone number:
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