JEFFERY LEE BAISE

CHARLESTON, WV
NPI1467062828
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-07-31
Last Update Date2020-07-31
Business Address
JEFFERY LEE BAISE
3529 SPRINGFORK DR
CHARLESTON, WV 25306-6849
Phone number: 606-465-5330
Mailing Address
JEFFERY LEE BAISE
3529 SPRINGFORK DR
CHARLESTON, WV 25306-6849
Phone number: 606-465-5330
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