CHARLES EVANS II

HURRICANE, WV
NPI1194129304
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WV  950)
Enumeration Date2014-10-17
Last Update Date2014-10-17
Business Address
-- CHARLES EVANS II
4000 OUT LOOK DR
HURRICANE, WV 25526-9467
Phone number: 304-757-4102
Mailing Address
-- CHARLES EVANS II
4000 OUT LOOK DR
HURRICANE, WV 25526-9467
Phone number: 304-757-4102
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