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1336815414
HARLEY SHOSTAK
SOUTH CHARLESTON, WV
NPI
1336815414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-08-19
Last Update Date
2021-08-19
Business Address
HARLEY SHOSTAK
144 7TH AVE
SOUTH CHARLESTON, WV 25303-1452
Phone number: 304-744-4081
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Mailing Address
HARLEY SHOSTAK
144 7TH AVE
SOUTH CHARLESTON, WV 25303-1452
Phone number: 304-744-4081
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