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1447986823
GLENN LOUIS DRAKE
CLAY, WV
NPI
1447986823
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-07-27
Last Update Date
2022-07-27
Business Address
GLENN LOUIS DRAKE
172 MAIN STREET
CLAY, WV 25043-2504
Phone number: 304-587-4251
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Mailing Address
GLENN LOUIS DRAKE
PO BOX 455
CLAY, WV 25043-0455
Phone number: 304-587-4251
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