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1356011621
JACK RADER
HUNTINGTON, WV
NPI
1356011621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-09-17
Last Update Date
2021-09-17
Business Address
JACK RADER
410 31ST ST
HUNTINGTON, WV 25702-1420
Phone number: 681-888-5852
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Mailing Address
JACK RADER
410 31ST ST
HUNTINGTON, WV 25702-1420
Phone number: 681-888-5852
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