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1477145431
JUSTICE SAMUELS
FAIRMONT, WV
NPI
1477145431
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-02-10
Last Update Date
2021-02-10
Business Address
JUSTICE SAMUELS
200 BRADDOCK ST
FAIRMONT, WV 26554-2208
Phone number: 304-502-2550
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Mailing Address
JUSTICE SAMUELS
200 BRADDOCK ST
FAIRMONT, WV 26554-2208
Phone number:
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