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1275222598
PHILIP BRUCE ELLIOTT
KENOVA, WV
NPI
1275222598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2023-05-03
Last Update Date
2023-05-03
Business Address
PHILIP BRUCE ELLIOTT
934 23RD ST
KENOVA, WV 25530-1802
Phone number: 304-733-1094
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Mailing Address
PHILIP BRUCE ELLIOTT
934 23RD ST
KENOVA, WV 25530-1802
Phone number:
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