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1477331163
GARY LEE MCDERMENT
KENOVA, WV
NPI
1477331163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: WV 23-9188)
Enumeration Date
2023-09-15
Last Update Date
2024-02-21
Business Address
Mr. GARY LEE MCDERMENT PRSS
802 OAK ST
KENOVA, WV 25530-1519
Phone number: 304-908-1056
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Mailing Address
Mr. GARY LEE MCDERMENT PRSS
802 OAK ST
KENOVA, WV 25530-1519
Phone number: 304-908-1056
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