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1336790443
CHARLES DAVID WASHINGTON JR,
GLENWOOD, WV
NPI
1336790443
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2019-09-20
Last Update Date
2019-09-20
Business Address
CHARLES DAVID WASHINGTON JR,
1592 GALLIA ROAD
GLENWOOD, WV 25520-1145
Phone number: 304-429-6741
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Mailing Address
CHARLES DAVID WASHINGTON JR,
1592 GALLIA ROAD
GLENWOOD, WV 25520-1145
Phone number: 304-429-6741
Copy
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