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1386484756
RANDALL BENNETT
HUNTINGTON, WV
NPI
1386484756
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: WV 239240)
Enumeration Date
2024-05-31
Last Update Date
2024-05-31
Business Address
RANDALL BENNETT
1402 4TH AVE
HUNTINGTON, WV 25701-2403
Phone number: 304-429-4276
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Mailing Address
RANDALL BENNETT
1402 4TH AVE
HUNTINGTON, WV 25701-2403
Phone number: 304-429-4276
Copy
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