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1578245585
JUSTIN RONALD WINE
HUNTINGTON, WV
NPI
1578245585
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP1600X Counselor Pastoral
Additional Taxonomies
374K00000X Religious Nonmedical Practitioner
Enumeration Date
2023-08-01
Last Update Date
2023-08-01
Business Address
JUSTIN RONALD WINE
1540 SPRING VALLEY DR
HUNTINGTON, WV 25704-9501
Phone number: 304-429-6741
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Mailing Address
JUSTIN RONALD WINE
119 NORTH TER
HUNTINGTON, WV 25705-1533
Phone number:
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