LARRY WISE

SOUTH CHARLESTON, WV
NPI1487233300
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2021-04-07
Last Update Date2021-04-07
Business Address
LARRY WISE
144 7TH AVE
SOUTH CHARLESTON, WV 25303-1452
Phone number: 304-744-4081
Mailing Address
LARRY WISE
144 7TH AVE
SOUTH CHARLESTON, WV 25303-1452
Phone number: 304-744-4081
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