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1669664231
P.R.I.D.E. INC.
LOGAN, WV
NPI
1669664231
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Entity Type
Organization
Authorized Contact
BRENDA YORK
Billing Clerk
304-752-6868
Organization Subpart ?
No
Primary Taxonomy
305R00000X Preferred Provider Organization
Enumeration Date
2007-08-16
Last Update Date
2007-08-16
Business Address
P.R.I.D.E. INC.
699 STRATTON ST
LOGAN, WV 25601-4020
Phone number: 304-752-6868
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Mailing Address
P.R.I.D.E. INC.
PO BOX 1346
LOGAN, WV 25601-1346
Phone number: 304-752-6868
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