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1528617636
PAUL DAVID LARGE
HUNTINGTON, WV
NPI
1528617636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WV C1089)
Enumeration Date
2019-09-11
Last Update Date
2019-09-11
Business Address
PAUL DAVID LARGE
1720 17TH ST
HUNTINGTON, WV 25701-4235
Phone number: 304-529-6031
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Mailing Address
PAUL DAVID LARGE
1720 17TH ST
HUNTINGTON, WV 25701-4235
Phone number: 304-529-6031
Copy
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