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1487261491
ZACHARY ROY KETTERMAN
ELKINS, WV
NPI
1487261491
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-09-24
Last Update Date
2020-09-24
Business Address
ZACHARY ROY KETTERMAN
#1 FIFTH STREET
ELKINS, WV 26241
Phone number: 304-636-4747
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Mailing Address
ZACHARY ROY KETTERMAN
PO BOX 727
ELKINS, WV 26241-0727
Phone number: 304-636-4747
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