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1215649223
KENNETH GRIER
CROSS LANES, WV
NPI
1215649223
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2022-12-21
Last Update Date
2023-02-01
Business Address
KENNETH GRIER
5512 BIG TYLER RD
CROSS LANES, WV 25313-1304
Phone number: 304-766-9830
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Mailing Address
KENNETH GRIER
5512 BIG TYLER RD
CROSS LANES, WV 25313-1304
Phone number: 304-766-9830
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