LOGAN TRAVIS, ALLEN JACKSON

WILLIAMSTOWN, WV
NPI1548868235
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy376K00000X Nurse's Aide
Enumeration Date2020-10-14
Last Update Date2020-10-14
Business Address
LOGAN TRAVIS, ALLEN JACKSON
1307 WILLIAMSTOWN PIKE
WILLIAMSTOWN, WV 26187-8168
Phone number: 304-455-2757
Mailing Address
LOGAN TRAVIS, ALLEN JACKSON
1307 WILLIAMSTOWN PIKE
WILLIAMSTOWN, WV 26187-8168
Phone number: 304-455-2757
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