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1447947718
CHRISTOPHER RAY LICKERT
PARKERSBURG, WV
NPI
1447947718
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2023-04-18
Last Update Date
2023-04-18
Business Address
CHRISTOPHER RAY LICKERT
1008 14TH ST
PARKERSBURG, WV 26101-4004
Phone number: 304-699-9575
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Mailing Address
CHRISTOPHER RAY LICKERT
1008 14TH ST
PARKERSBURG, WV 26101-4004
Phone number: 304-699-9575
Copy
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