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1497354476
EDWARD CLEVENGER
BUCKHANNON, WV
NPI
1497354476
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-10-21
Last Update Date
2021-06-29
Business Address
EDWARD CLEVENGER
598 STONY RUN RD
BUCKHANNON, WV 26201-4019
Phone number: 304-636-9326
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Mailing Address
EDWARD CLEVENGER
501 WILSON LN
ELKINS, WV 26241-5216
Phone number: 304-636-9326
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