JEROME DIBACCO

ELKINS, WV
NPI1528668894
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2020-10-27
Last Update Date2020-10-27
Business Address
JEROME DIBACCO
725 YOKUM ST
ELKINS, WV 26241-3353
Phone number: 304-636-3232
Mailing Address
JEROME DIBACCO
725 YOKUM ST
ELKINS, WV 26241-3353
Phone number: 304-636-3232
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