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1205429271
LARRY WHITEHAIR
VIENNA, WV
NPI
1205429271
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-02-19
Last Update Date
2024-05-21
Business Address
LARRY WHITEHAIR BA
1100 9TH ST STE F
VIENNA, WV 26105-2176
Phone number: 304-485-0791
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Mailing Address
LARRY WHITEHAIR BA
1100 9TH ST STE F
VIENNA, WV 26105-2176
Phone number:
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