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1255955787
COREY MIRT
WHEELING, WV
NPI
1255955787
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-06-01
Last Update Date
2022-02-17
Business Address
COREY MIRT BS/CM
111 19TH ST
WHEELING, WV 26003-3709
Phone number: 304-234-3500
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Mailing Address
COREY MIRT BS/CM
111 19TH STREET P.O. BOX 6400
WHEELING, WV 26003-2525
Phone number: 412-605-4443
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