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1649984535
JOHN WALTON SMITH
LOGAN, WV
NPI
1649984535
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: WV 22-9138)
Enumeration Date
2023-01-06
Last Update Date
2023-01-06
Business Address
JOHN WALTON SMITH PRSS
1 WASHINGTON AVE STE 3
LOGAN, WV 25601-3965
Phone number: 304-792-8689
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Mailing Address
JOHN WALTON SMITH PRSS
1 WASHINGTON AVE STE 3
LOGAN, WV 25601-3965
Phone number: 304-792-8689
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