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1184218505
SAMUEL BENSON
FAIRMONT, WV
NPI
1184218505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-02-25
Last Update Date
2021-02-25
Business Address
SAMUEL BENSON
26 ROSS ST
FAIRMONT, WV 26554-4576
Phone number: 681-443-3902
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Mailing Address
SAMUEL BENSON
26 ROSS ST
FAIRMONT, WV 26554-4576
Phone number:
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