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1538666284
JARED MUTH
HUNTINGTON, WV
NPI
1538666284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2081S0010X Physical Medicine & Rehabilitation Sports Medicine
(Licence: WV AT001457)
Enumeration Date
2018-04-10
Last Update Date
2018-04-10
Business Address
JARED MUTH ATC
1 JOHN MARSHALL DR
HUNTINGTON, WV 25755-0002
Phone number: 304-696-6461
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Mailing Address
JARED MUTH ATC
1225 CHARLESTON AVE
HUNTINGTON, WV 25701-3623
Phone number: 504-799-9614
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