ETHAN TERRELL GRANT

CLARKSBURG, WV
NPI1174110951
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-12-28
Last Update Date2020-12-28
Business Address
ETHAN TERRELL GRANT
305 STEALEY AVE
CLARKSBURG, WV 26301-3460
Phone number: 304-627-7427
Mailing Address
ETHAN TERRELL GRANT
305 STEALEY AVE
CLARKSBURG, WV 26301-3460
Phone number: 304-627-7427
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