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1154934404
COLTEN RAY SPENCER
HUNTINGTON, WV
NPI
1154934404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: WV IN0009784)
Enumeration Date
2020-08-26
Last Update Date
2020-08-26
Business Address
Mr. COLTEN RAY SPENCER
1538 CHARLESTON AVE
HUNTINGTON, WV 25701
Phone number: 000-000-0000
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Mailing Address
Mr. COLTEN RAY SPENCER
1538 CHARLESTON AVE
HUNTINGTON, WV 25701
Phone number: 000-000-0000
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