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1477140176
JUSTIN COOK
DANVILLE, WV
NPI
1477140176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-12-29
Last Update Date
2020-12-29
Business Address
JUSTIN COOK
347 KENMORE DR STE 1A
DANVILLE, WV 25053-7083
Phone number: 304-369-0451
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Mailing Address
JUSTIN COOK
PO BOX 247
MADISON, WV 25130-0247
Phone number: 304-369-0451
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