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1487264248
FRED SALEM CORNELL
KENOVA, WV
NPI
1487264248
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-08-06
Last Update Date
2020-08-06
Business Address
FRED SALEM CORNELL
820 POPLAR ST
KENOVA, WV 25530-1530
Phone number: 304-453-4992
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Mailing Address
FRED SALEM CORNELL
820 POPLAR ST
KENOVA, WV 25530-1530
Phone number: 304-453-4992
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