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1164286019
MATTHEW BRYAN CROSE
ASHFORD, WV
NPI
1164286019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2024-02-12
Last Update Date
2024-02-12
Business Address
MATTHEW BRYAN CROSE
2879 ASHFORD NELLIS RD
ASHFORD, WV 25009-9661
Phone number: 304-400-2853
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Mailing Address
MATTHEW BRYAN CROSE
2879 ASHFORD NELLIS RD
ASHFORD, WV 25009-9661
Phone number: 304-400-2853
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