JIMMY LYNN EAGLE

BEVERLY, WV
NPI1407466014
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-08-07
Last Update Date2021-06-29
Business Address
JIMMY LYNN EAGLE
24 HEMLOCK DR
BEVERLY, WV 26253-4554
Phone number: 304-636-9326
Mailing Address
JIMMY LYNN EAGLE
501 WILSON LN
ELKINS, WV 26241-5216
Phone number: 304-636-9326
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