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1255110060
SAM BOONE
HAMLIN, WV
NPI
1255110060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2023-09-22
Last Update Date
2023-09-22
Business Address
SAM BOONE
360 MAIN ST
HAMLIN, WV 25523-1412
Phone number: 304-824-3448
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Mailing Address
SAM BOONE
360 MAIN ST
HAMLIN, WV 25523-1412
Phone number: 304-824-3448
Copy
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