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1194343764
HERSCHEL GENE SHAMBLIN
CHARLESTON, WV
NPI
1194343764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-07-10
Last Update Date
2020-07-10
Business Address
HERSCHEL GENE SHAMBLIN
134 CONNER DR
CHARLESTON, WV 25302-1462
Phone number: 304-205-5730
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Mailing Address
HERSCHEL GENE SHAMBLIN
134 CONNER DR
CHARLESTON, WV 25302-1462
Phone number: 304-205-5730
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