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1588336101
ZACHARY KETTERMAN
ELKINS, WV
NPI
1588336101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-10-01
Last Update Date
2021-10-01
Business Address
ZACHARY KETTERMAN
1408 HARRISON AVE
ELKINS, WV 26241-3325
Phone number: 304-636-4309
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Mailing Address
ZACHARY KETTERMAN
114A BEANS LN
MOOREFIELD, WV 26836-1202
Phone number: 304-257-3438
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