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1619622107
DANA HIGGINBOTHEM
CHARLESTON, WV
NPI
1619622107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2022-02-14
Last Update Date
2022-02-14
Business Address
DANA HIGGINBOTHEM
102 PATRICK STREET PLZ
CHARLESTON, WV 25387-2444
Phone number: 304-233-3200
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Mailing Address
DANA HIGGINBOTHEM
102 PATRICK STREET PLZ
CHARLESTON, WV 25387-2444
Phone number:
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