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1679218119
KRISTOPHER MANDEVILLE
HUNTINGTON, WV
NPI
1679218119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2022-04-29
Last Update Date
2022-04-29
Business Address
KRISTOPHER MANDEVILLE PRSS
419 12TH ST
HUNTINGTON, WV 25701-2212
Phone number: 681-888-5291
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Mailing Address
KRISTOPHER MANDEVILLE PRSS
419 12TH ST
HUNTINGTON, WV 25701-2212
Phone number: 681-888-5291
Copy
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