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1548984065
DAMIAN A MOATS
KENOVA, WV
NPI
1548984065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2022-09-28
Last Update Date
2022-09-28
Business Address
DAMIAN A MOATS
820 POPLAR ST
KENOVA, WV 25530-1530
Phone number: 304-453-4992
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Mailing Address
DAMIAN A MOATS
820 POPLAR ST
KENOVA, WV 25530-1530
Phone number: 304-453-4992
Copy
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