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1215525886
MONTANA RICHARDSON
HUNTINGTON, WV
NPI
1215525886
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2021-01-08
Last Update Date
2021-01-08
Business Address
MONTANA RICHARDSON
10 6TH AVE W
HUNTINGTON, WV 25701-0028
Phone number: 304-525-8014
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Mailing Address
MONTANA RICHARDSON
10 6TH AVE W
HUNTINGTON, WV 25701-0028
Phone number: 304-525-8014
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